• 수면정신생리
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• 제2권1호
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• pp.82-90
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• 1995

Objectives : Insomnia is significantly influenced by the pre-sleep arousal, self efficacy, sleep hygiene, depression and anxiety. The authors tried to explore how these factors are related with the clinical features of sleep. Methods : Fifty three patients diagnosed as insomnia by DSM-IV criteria were studied. They filled up the pre-sleep arousal scale(PSAS), sleep efficacy scale(SES), sleep hygiene awareness and practice scale, BDI, and state and trait anxiety scales. Results: 1) The mean values of sleep-related variables were as follows : Sleep latency,136.89 minutes ; frequences of awakening during a night, 2.28 ; minutes to get back to sleep, 42.70 ; total sleep time, 180.19 minutes ; duration of illness, 72.00 months. 2) The mean scores of scales were as follows : PSAS(cognitive), 22.40 ; PSAS(somatic), 17.32 ; SES, 20.16 ; sleep hygiene knowledge, 25.96 ; caffein knowledge, 59.78 ; sleep hygiene practice, 42.12 ; BDI. 18.2 ; state anxiety, 41.24 ; trait anxiety ; 44.50. 3) In the subjects with superimposed depression, the mean frequency of awakening during a night and the mean pre-sleep arousal scale score were higher than in those without depression. 4) Frequency of awakening were correlated positively with a PSAS(a tight tense feeling in your muscle) and sleep hygiene awareness. PSAS(cognitive) were correlated positively with a PSAS(somatic). BDI correlated positively with a PSAS item(a jittery, nervous feeling in your body)and a SES item (not allow a poor night's sleep to interfere with daily activities). Anxiety scales were correlated positively with sleep hygiene practice scale sleep, and PSAS were correlated negatively with SES. Conclusions : The mean scores of PSAS, SES, sleep hygiene awareness and practice scale, BDI, state and trait anxiety scales of insomniacs were correlated either positively or negatively in insomnia patients. These factors seem to contribute to the development and maintainence of insomnia.

• 대한전기학회논문지:시스템및제어부문D
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• 제55권5호
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• pp.240-247
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• 2006

Frequent arousals during sleep degrade the quality of sleep and result in sleep fragmentation. Visual inspection of physiological signals to detect the arousal events is cumbersome and time-consuming work. The purpose of this study is to develop an automatic algorithm to detect the arousal events. The proposed method is based on time-frequency analysis and the support vector machine classifier using single channel electroencephalogram (EEG). To extract features, first we computed 6 indices to find out the informations of a subject's sleep states. Next powers of each of 4 frequency bands were computed using spectrogram of arousal region. And finally we computed variations of power of EEG frequency to detect arousals. The performance has been assessed using polysomnographic (PSG) recordings of twenty patients with sleep apnea, snoring and excessive daytime sleepiness (EDS). We could obtain sensitivity of 79.65%, specificity of 89.52% for the data sets. We have shown that proposed method was effective for detecting the arousal events.

• 인지과학
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• 제21권1호
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• pp.127-143
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• 2010

본 논문은 정서의 이차원 구조상에서 얼굴표정으로부터 아동의 정서변별에 대한 성별차이를 알아보고자 한다. 연구 그룹은 40개월, 52개월, 64개월의 92명의 아동들로 이루어졌으며, 남녀아동 비율은 남아 50%와 여아 50%였다. 92명의 아동들을 대상으로 12개의 정서 단어와 관계된 얼굴표정들을 선택하도록 하였다. 실험에 적용된 얼굴표정들은 54명의 대학생들로부터 9점 척도상에서 두 차원(쾌-불쾌차원과 각성-수면차원) 각각에서 표정의 강도가 평가된 사진들이 사용되었다. 실험결과에서 아동들은 쾌-불쾌차원 보다는 각성-수면차원에서 남녀간의 성별차이를 두드러지게 나타냈다. 각성-수면차원에서는 '졸리움, 화남, 편안함, 쓸쓸함' 정서들이 1보다 큰 성별차이를 보였다. 특히 남아들은 '졸리움, 화남, 쓸쓸함' 같은 정서들안에서 여아보다 높은 각성을 보인반면, 여아들은 '편안함' 정서에서 남아보다 높은 각성을 보였다.

• Perspectives in Nursing Science
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• 제2권1호
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• pp.37-47
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• 2005

Biobehavioral nursing research is focused on generating knowledge that examines relations among biological, behavioral, and social dimensions of health to improve outcomes. In this paper we review the findings of a biobehavioral nursing study of individuals with fibromyalgia (FM) that was framed from the perspective of an individual human response model, the FM literature, and our previous studies in midlife women. We were particularly interested in the studying the role of 'arousal' secondary to pain or to dysregulated hypothalamic-pituitary-adrenal (HPA) axis hormones during sleep and the impact on symptom expression. Unexpectedly, we did not find evidence of, arousal' or abnormal amounts of HPA axis hormones but we did find reduced amounts of growth hormone (GH) and prolactin (PRL) and of sleep spindle activity, a biomarker of sleep maintenance. We discuss these new findings and how our thinking was re-shaped to better understand the role that disturbed sleep plays in symptom expression in FM. It is argued that disturbed sleep maintenance mechanisms coupled with dysregulated somatotrophic-growth hormone axis and sleep-related PRL render individuals vulnerable to the development of or exacerbations of FM symptoms.

• 인지과학
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• 제18권1호
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• pp.57-68
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• 2007

본 논문은 정서의 이차원 구조상에서 얼굴표정으로부터 아동의 정서이해에 대한 범주를 알아보고자 한다. 3세에서 5세 89명의 아동들을 대상으로 14개의 정서 단어와 관계된 얼굴표정들을 선택하도록 하였다. 실험에 적용된 얼굴표정들은 54명의 대학생들로부터 9점 척도상에서 두차원(쾌-불쾌차원과 각성-수면차원) 각각에서 표정의 강도가 평정된 사진들이 사용되었다. 실험결과에서 아동들은 쾌-불쾌 차원보다는 각성-수면 차원에서 더 큰 안정성을 보였다. 이차원 구조상에서 슬픔, 졸림, 화남, 놀람과 같은 정서들은 두 차원에서 매우 잘 변별된 반면, 두려움, 지겨움과 같은 정서들은 쾌-불쾌 차원에서 불안정성을 보였다. 특히 3세 아동들은 각성-수면정도에 대한 지각이 쾌-불쾌에 대한 지각보다 높게 나타났다.

• 수면정신생리
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• 제24권1호
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• pp.5-11
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• 2017

The use of alcohol is associated with the development and worsening of sleep disorder. Alcohol is generally known to have a sedative effect, but it has an arousal or sedative effect depending on the timing and drinking dose and directly affects REM sleep physiology. Alcohol acts on the central nervous system (CNS) to interfere with the sleep-wake cycle and to affect sleep-related hormone secretion. In addition, the ingestion of alcohol pre-sleep is associated with deterioration and development of sleep related breathing disorders (SBD). The increase in resistance of the upper respiratory tract and the decrease in sensitivity of the CNS respiratory center and the respiratory muscles are major mechanisms of alcohol-induced SBD, and result in snoring or apnea in healthy men or aggravating apnea in patients with OSA. Sleep-related restless leg syndrome and circadian rhythm disorders are common in alcohol use disorder patients. This review provides an assessment of scientific studies that investigated on the impact of alcohol ingestion on nocturnal sleep physiology and sleep disorders.

• 수면정신생리
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• 제1권1호
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• pp.99-106
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• 1994

The authors report a case of REM sleep behavior disorder which occurred in a 69-year-old business man. He began experiencing episodic "acting out" behavior of his dream at the age of 66. The episodes tended to be associated with dream contents, mainly being chased or threatened. Before that, his sleep was relatively quiet despite occasional nightmares, midsleep arousal, and shallowness. Injuries resulted from leaping out of bed, jumping onto furnitures, and grabbing and biting the spouse's arm. Most recent dream-incurred laceration of chin required 5 sutures. Medical and psychiatric history revealed no significant findings except that he had been overanxious all his life within himself with others' reputation of himself as pleasant and easy-going. A nocturnal polysomnogram showed repeatedly intermittent increase of chin and/or leg muscle tones during otherwise characteristic REM sleep period. The overnight video recording revealed head lifting and limb movements during REM sleep periods. Brain MRI and EEG were normal. Job-related stress was presumed to be an etiological possibility. Clonazepam 0.25-0.5mg nightly almost completely relieved the symptoms.

• 한국정보통신학회논문지
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• 제12권3호
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• pp.438-444
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• 2008

본 논문에서는 애니메이션 캐릭터의 표정 연출의 효율성을 높이기 위해 정서 상태의 변화에 따라 다양하고 주어진 상황에 부합하는 표정을 쉽게 구현할 수 있는 표정생성 프로그램을 제안하고자 한다. 이를 위해 우선, Russell의 내적 정서 상태의 차원 모형을 근거로 쾌-불쾌, 각성-비각성의 내적 정서 상태 정보를 포함한 9가지 표정을 정의하였다. 그리고 각각의 표정에 대해 본 연구에서 제안한 표정생성 프로그램을 이용하여 두 차원의 중앙에 위치하는 무표정 자극을 8가지의 가능한 표정 변화 방향으로 이동시킴으로써 정서 차원에서의 미묘한 위치 변화에 따라서도 다양한 표정 생성이 구현될 수 있음을 확인하였다. 향후 이러한 프로그램은 복잡한 정서를 가진 표정을 쉽고 다양하게 구현할 수 있는 표정 자동생성 시스템 설계의 기초적 프로그램으로 활용될 수 있을 것이다.

• Childhood Kidney Diseases
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• 제20권2호
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• pp.50-56
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• 2016

Purpose: Nocturnal enuresis (NE) is one of the most common problems in childhood. NE has a multifactorial etiology and is influenced by sleep and arousal mechanisms. The aim of the present study was to prospectively evaluate sleep problems and patterns in children with NE compared with normal healthy controls. Methods: Twenty-eight children with NE and 16 healthy controls were included in the study. To evaluate sleep habits and disturbances, parents and children filled out a questionnaire that included items about sleep patterns and sleep-related behaviors prior to treatment for NE. Demographic factors and other data were compared for the two groups based on the responses to the sleep questionnaire. Results: Night awakening, sleepwalking, and periodic limb movements were more prevalent in children with NE, but symptoms of sleep-disordered breathing were not increased in this group. There were statistically significant differences in periodic limb movements and daytime sleepiness between the two groups. Conclusion: Children with NE seemed to have more sleep problems such as night awakening, sleepwalking, and periodic limb movements. In addition, a higher level of daytime sleepiness and hyperactivity in patients with NE suggested a relationship between NE and sleep disorders.

• 임상이비인후과
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• 제29권2호
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• pp.190-197
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• 2018

Background and Objectives : Positional OSAS is characterized by an apnea-hypopnea index (AHI) score >5, which, while sleeping in the supine position, is double that in non-supine position. This study was performed to compare the clinical characteristics of positional OSAS and non-positional OSAS patients, and the effects of the modified jaw thrust maneuver during drug-induced sleep endoscopy (DISE) between positional OSAS and non-positional OSAS patients. Materials and Methods : 68 positional OSAS patients and 19 non-positional OSAS patients were included. They all underwent full-night polysomnography and DISE. The modified jaw thrust maneuver was introduced during DISE. Airway structural changes induced by the modified jaw thrust maneuver were evaluated and documented. Results : There were no statistically significant differences in Friedman stage or tonsil grade, body mass index, Epworth sleepiness scale (ESS) score, blood pressure, AHI, or obstructive pattern between the positional and non-positional OSAS patients. However, mean arterial oxygen saturation (SaO2), lowest SaO2, and total arousal index values were more severe in the non-positional OSAS patients. After introduction of the modified jaw thrust maneuver, retrolingual level obstruction showed a tendency toward a higher rate of airway opening in positional OSAS patients than in non-positional OSAS patients. Conclusions : The effects of a mandibular advancement device (MAD) can be estimated by carrying out a modified jaw thrust maneuver during DISE. The tendency toward a higher rate of airway opening in positional OSAS patients than non-positional OSAS patients in retrolingual level obstruction after jaw thrust maneuver introduced during DISE may be clinically important for MAD.