• Journal of Korean Critical Care Nursing
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• v.16 no.2
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• pp.15-27
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• 2023

Purpose : This study aimed to examine the relationship between sleep quality and its influencing factors in patients with coronary artery disease (CAD). Methods : This descriptive correlational study included 130 patients with CAD admitted to the cardiology department of a general hospital in B City between September 2019 and February 2020. Data were collected using structured questionnaires and research instruments to measure sleep quality, anxiety, depression, chronotype, and daytime sleepiness. Results : The mean scores for sleep quality, daytime sleepiness, anxiety, and depression were 7.59±3.45, 6.45±3.46, 6.58±3.88, and 7.74±4.05, respectively. In terms of chronotypes, 10.8%, 48.5%, and 40.7% of the participants had evening-, intermediate-, and morning-type patterns, respectively. Sleep quality was significantly correlated with anxiety (r=0.38, p<.001), depression (r=.37, p<.001), and daytime sleepiness (r=.26, p =.002). Factors associated with sleep quality in patients with CAD included anxiety (β=.29), heart failure (β=.22), daytime sleepiness(β=.21), and sleeping alone (β=.19). Collectively, these factors had an explanatory power of 23.1% for sleep quality variance. Conclusion: Patients with CAD often experience poor sleep quality owing to various factors such as anxiety, daytime sleepiness, heart failure, and sleeping alone. It is recommended that healthcare providers objectively evaluate sleep and identify factors that influence sleep quality. This will enable the development of effective methods for sleep management as part of nursing care.

• Journal of Chest Surgery
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• v.57 no.3
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• pp.272-280
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• 2024

Background: The phenomenon known as the "weekend effect" impacts various medical disciplines. We compared outcomes between regular hours and off hours to investigate the presence of the weekend effect in extracorporeal cardiopulmonary resuscitation (ECPR). Methods: Between January 2018 and December 2020, 159 patients at our center were treated with veno-arterial extracorporeal membrane oxygenation (ECMO) for cardiac arrest. We assessed the time required for ECMO preparation, the rate of successful weaning, and the rate of in-hospital mortality. These factors were compared among regular hours ("daytime": weekdays from 7:00 AM-7:00 PM), off hours on weekdays ("nighttime": weekdays from 7:00 PM-7:00 AM), and off hours on weekends and holidays ("weekend": Fridays at 7:00 PM to Mondays at 7:00 AM). Results: The time from the recognition of cardiac arrest to the arrival of the ECMO team was shortest for the daytime group and longest for those treated over the weekend (daytime, 10.0 minutes; nighttime, 12.5 minutes; weekend, 15.0 minutes; p=0.064). The time from the ECMO team's arrival to ECMO initiation was shortest for the daytime and longest for the nighttime group (daytime, 13.0 minutes; nighttime, 18.5 minutes; weekend, 14.0 minutes; p=0.028). No significant difference was observed in the rate of successful ECMO weaning (daytime, 48.3%; nighttime, 39.5%; weekend, 36.1%; p=0.375). Conclusion: In situations involving CPR, the time to arrival of the ECMO team was longer during off hours. Furthermore, ECMO insertion required more time at night than during the other periods. These findings warrant specific training in decision-making and emergent ECMO insertion.

• The Korean Journal of Financial Management
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• v.27 no.2
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• pp.145-167
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• 2010

We investigate the dynamic relationship between stock returns and investors' behavior. For the putpose of the paper, daily KOSPI returns are decomposed into two parts: overnight returns and daytime returns. Overnight return is measured by the closing price of the previous day and the opening price of the current day. And daytime return is measured by the opening and closing prices of the current day. Qvernight returns are assumed to reflect global economic information, and daytime returns, domestic or local information. Major results are as follows: Foreign investors' behavior has an effect on the overnight returns more than the daytime returns. Individual investors' behavior, however, has little effect on the overnight returns, but not the daytime returns. Consequently, forecast error variance decomposition shows that the variance explanation power of foreign investors is higher in overnight returns rather than in the daytime returns. And the variance explanation power of individual investors is higher in daytime returns rather than in overnight returns. It implies that foreign investors employ dynamic hedging strategies and give more weight to global economic information rather than to domestic information. We conclude that investment behavior of foreign investors and domestic individuals is based on different economic information. This paper's findings are consistent with the economic situation that the Korean capital markets have faced since the global financial crisis of August 2008.

• Journal of Korean Society for Atmospheric Environment
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• v.32 no.5
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• pp.536-546
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• 2016

The diurnal variations of $O_3$ and $NO_2$ in an urban park and the effects of air temperature and wind speed on the diurnal variations are investigated. $O_3$ and $NO_2$ concentrations were observed at a site in an urban park of Seoul from 27 July 2015 to 9 August 2015. The $O_3$ and $NO_2$ concentrations observed in the urban park are compared to those observed at the Gangnam air quality monitoring station (AQMS). The $O_3$ concentration is higher in the urban park than at the Gangnam AQMS in the daytime because the amount of $O_3$ dissociated by NO is smaller as well as partly because the amount of $O_3$ produced in the oxidation process of biogenic volatile organic compounds (VOCs) is larger in the urban park than at the Gangnam AQMS. The $NO_2$ concentration is lower in the urban park than at the Gangnam AQMS during day and night because the observation site in the urban park is relatively far from roads where $NO_x$ is freshly emitted from vehicles. The difference in $NO_2$ concentration is larger in the daytime than in the nighttime. To examine the effects of air temperature and wind speed on the diurnal variations of $O_3$ and $NO_2$, the observed $O_3$ and $NO_2$ concentrations are classified into high or low air temperature and high or low wind speed days. The high $O_3$ and $NO_2$ concentrations in the daytime appear for the high air temperature and low wind speed days. This is because the daytime photochemical processes are favorable when the air temperature is high and the wind speed is low. The scatter plots of the daytime maximum $O_3$ and minimum $NO_2$ concentrations versus the daytime averages of air temperature and wind speed show that the daytime maximum $O_3$ and minimum $NO_2$ concentrations tend to increase as the air temperature increases or the wind speed decreases. The daytime maximum $O_3$ concentration is more sensitive to the changes in air temperature and wind speed in the urban park than at the Gangnam AQMS.

• Sleep Medicine and Psychophysiology
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• v.9 no.2
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• pp.106-114
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• 2002

Objectives: Daytime sleepiness is a common symptom and is associated with sleep behavior, sleep deprivation, and night shift, etc. It is also one of the most important symptoms of sleep disorders like obstructive sleep apnea (OSA). According to our survey on Korean literature, a few studies have dealt with daytime sleepiness, and we have not been able to locate any study comparing normal subjects with polysomnography-proven sleep disorder patients regarding daytime sleepiness. We aimed at comparing daytime sleepiness among normal healthy daytime workers, medical students being expected to have daytime sleepiness due to chronic sleep deprivation, and patients having sleep disorders diagnosed with polysomnography. We also studied the association between subjective daytime sleepiness and objective polysomnographic findings in patients with sleep disorders. Methods: One hundred three hospital workers, 137 medical students, and patients with sleep disorders were studied. Sleep disorders included OSA, periodic limb movements in sleep (PLMS), insomnia, and narcolepsy. The degree of subjective sleepiness in each group was measured by the Korean version of Epworth sleepiness scale and compared. The relationship between polysomnographic findings reflecting severity of sleep disorder in each patient group and subjective sleepiness was analyzed. As for patients with narcolepsy, the relationship between the mean sleep latency and subjective sleepiness was studied. Results: There was a significant difference of ESS score (F=68.190, dF=5.752, p<0.001) among daytime workers, medical students, and sleep disorder patients. In OSA patient group, the degree of the sleepiness had no significant correlation either with mean O2 satuaration (p=0.062) or with RDI (p=0.807). In PLMS patient group, there was no correlation between periodic limb movement index (PLMI) and subjective sleepiness (p=0.761). In narcolepsy patient group, the subjective sleepiness had no correlation with mean sleep latency measured with MSLT (p=0.055). Conclusion: We found a significant difference of subjective sleepiness among daytime workers, medical students, and patients with sleep disorders. However, no consistent correlation was found between severity of subjective sleepiness and objective polysomnographic findings reflecting severity of each sleep disorder. This research confirms that the evaluation of subjective sleepiness is important clinically, but it cannot substitute the objective measures such as nocturnal polysomnography and MSLT.

• Journal of the Korean Society of Fisheries and Ocean Technology
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• v.53 no.2
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• pp.126-131
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• 2017

To improve the efficiency of hairtail trolling, it is important to gain an accurate understanding of the distribution of fish based on their diurnal vertical migration patterns. This study evaluated the vertical distribution of hairtails through catch efficiency tests using vertical longlines. Five replicate tests of the efficiency were carried out on the eastern coast of Jeju Island from August to September 2016, from 11:00 AM to 03:00 PM in the daytime and 11:00 PM to 03:00 AM in the nighttime. The fishing gear was composed of 20 hooks per line set, numbered in order from the first hook near the surface to the last hook on the seabed. The depth of the first hook was 18 m, and that of the last hook was 86 m. Pacific saury was used as the baits. In total, 10 sets of fishing gear were used per trip. After fishing, we counted the hairtails at each numbered hook, which were summed up both by number and in aggregate. A total of 232 hairtails were caught using 2,000 hooks: 193 individuals at daytime and 39 at nighttime. The hook rate was 11.5% : 9.6% at daytime; 2.0% at nighttime. For both daytime and nighttime catches, there were variations in the hook rates at each numbered hook. In the daytime, a maximum of 28.5% catches occurred at hook number 18, followed by 21.4% at number 20, and 10.7% at number 17, accounting for 60.6% of the daytime hook rates. In the nighttime, a maximum of 23.0% catches occurred at hook number 1, followed by 15.3% at hook number 4 and 9, accounting for 53.6% of the nighttime hook rate. Based on the above results, hairtails are usually distributed in deeper region in daytime, whereas they occur near the surface in nighttime. Therefore, it is necessary to position trolling lines according to diurnal vertical distribution layers of hairtails for fishing efficiency.

• Korean Parent-Child Health Journal
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• v.3 no.1
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• pp.46-59
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• 2000

The purpose of this study is to determine whether the NCASA (Nursing Child Assessment Sleep/Activity Record) would be suitable to evaluate and to provide the basic resources for a Korean model of sleep/activity patterns during the first 6 months Korean infants' lives and to provide a basis for nursing intervention for mothers of early infants. The subjects of this study were 94 normal infants from birth to 6 months of age who visited the postpartum care center and two general hospitals located in Pusan from February 1 to April 28, 2000. The method of data collection was through convenient sampling. The instrument of this study was the NCASA translated by the Korean parent Child Health Academic Association. The collected data were analysed by mean, standard deviation, frequency percentage and ANOVA, Post Hoc test by use of SPSS/PC. The conclusions obtained from this study are summarized as follows: 1. The mean amount of daytime sleep was 8.06 hours. The mean amount of nighttime sleep was 6.31 hours. The mean amount of total daily sleep was 14.37 hours. The mean of the longest sleep period was 5.20 hours. The mean regularity of daytime sleep was 25.84%. The mean regularity of nighttime sleep was 77.69%. The mean regularity of total daily sleep was 42.60%. The mean frequency of nighttime wakenings was 2.33 times. 2. The mean amount of daytime activity was 8.25 hours. The mean amount of nighttime activity was 1.39 hours. The mean amount of daily total activity was 9.64 hours. The mean of the longest activity period was 3.80 hours The mean frequency of daytime feeding was 5.69 times. The mean frequency of nighttime feeding was 2.08 times. The mean frequency of total daily feeding was 7.74 times. The mean frequency regularity of feeding was 54.62%. The mean frequency of wakenings was 5.14 times. The mean frequency of crying was 1.90 times. 3. According to an analysis of sleep patterns based on an infant's age, there were some significant differences in the following factors: amount of daytime sleep(p<.001), amount of night time sleep(p<.05), amount of total daily sleep (p<.001), longest sleep period(p<.001), regularity of daytime sleep(p<.001), regularity of nighttime sleep(p<.01), regularity of total daily sleep(p<.001), frequency of nighttime wakenings(p<.001). 4. According to an analysis of activity patterns based on an infant's age, there were some significant differences in the following factors: amount of daytime activity(p<.001), amount of nighttime activity(p<.01), amount of total daily activity(p<.001), longest activity period(p<.05), frequency of nighttime feeding(p<.01), frequency of wakenings(p<.001). 5. The mean amount of a mother's day time was 16.30 hours. The mean amount of a mother's night time was 7.70 hours. In conclusion, the initial irregular sleeping and activity patterns of the early infant became regurized as the infant grew older and estabilished firmer patterns of sleeping and of activity.

• Korean Journal of Psychosomatic Medicine
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• v.22 no.2
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• pp.79-86
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• 2014

Objectives : Shift work disorder occurs when you have difficulties adjusting to a work schedule that takes place during a time which most people sleep. Some people may have diverse psychosomatic symptoms, such as sleep problems, depression, anxiety, and headaches even after the shift work schedule ends. The aims of this study are to compare difference of psychosomatic symptoms between rotating shift and daytime working nurse groups. Methods : Volunteer nurses working in a general hospital were recruited in a general hospital. We collected sociodemographic data. We used questionnaires for headache type, headache frequency, and VAS(Visual Analog Scale) for headache intensity, BDI(Beck depression Inventory) and GSAQ(Global Sleep Assessment Questionnaire). We used Mann-Whitney test and Chi-square test for hypothesis testing. Results : Data collected from 84 women nurses. Rotating shift(N=37) working nurses showed younger, more unmarried, and shorter work periods than daytime working nurses (N=47). Also rotating shift group showed more problems of headache, insomnia, excessive daytime sleepiness, depression and anxiety than daytime group. The above results were statistically significant. Conclusions : The rotating shift work women nurses produced more headache, insomnia, excessive daytime sleepiness, depression, and anxiety than daytime working ones.

• Journal of the Korean Association of Geographic Information Studies
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• v.22 no.4
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• pp.197-214
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• 2019

In this study, the correlation analysis was conducted between observed air temperature (maximum, minimum, and mean air temperature) and the daytime and nighttime data of Terra/Aqua MODIS LST(Moderate Resolution Imaging Spectroradiometer Land Surface Temperature) for 86 weather stations. All the data of the recent 11 years from 2008 to 2018 were prepared with daily base. In particular, the characteristics of the cold and heat waves incidence period in 2018 were analyzed. The correlation analysis was performed using the Pearson correlation coefficient(R) and root mean square error(RMSE). As a result of time series analysis, the trend between observed air temperature and MODIS LST were similar, showing the correlation above 0.9 in maximum temperature, above 0.8 in mean and minimum temperature. Especially, the maximum temperature was found to have the highest accuracy with Terra MODIS LST daytime, and the minimum temperature had the highest correlation with Terra MODIS LST nighttime. During the cold wave period, both Terra and Aqua MODIS LST showed higher correlations with nighttime data than daytime data. For the heat wave period, the Aqua MODIS LST daytime data was good, but the overall R was below 0.5. Additional analysis is necessary for further study considering such as land cover and elevation characteristics.

• Journal of the Korean Geographical Society
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• v.37 no.3
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• pp.237-246
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• 2002

This study classified wintertime bioclimatic zones of South Korea based on daytime and nighttime distribution of wind chill index calculated from climate data during the coldest month for latest 30 years (1971- 2000). The results show that the winter daytime and nighttime wind chill index were influenced by climatic factors such as elevation, land-sea breeze, topology, and sea currents etc. as well as climatic components such as temperature, wind speed, and sunshine, so that South Korea was divided into five bioclimatic zones; Cool day- cold night zone, Keen day- Cold night zone, Keen day-Very Cold night zone, Cold day and night zone, and Cold day-Extremely Cold night zone. Especially, coasts and island areas, except for south coast of Korea, shows Keen bioclimatic response during daytime and Very Cold bioclimatic response during nighttime. This indicates that coasts and island areas, except for south coast of Korea are affected by moonson and land-sea breeze. In addition, highly elevated Daegwallyeong shows Cold bioclimatic response during daytime and Extremely Cold during nighttime due to the influence of adiabatic temperature lapse rate and monsoon. This study offers basic data necessary to make decisions concerning insulation such as clothing and architect etc. by classifying winter bioclimatic zones of South Korea based on various daytime and nighttime distribution of wind chill.