• Annals of Clinical Neurophysiology
• /
• 제25권1호
• /
• pp.1-9
• /
• 2023

Breathing is controlled by complex interactions between the central and peripheral nervous systems in conjunction with the respiratory system. Neurological diseases predispose patients to nocturnal desaturation and pneumonia due to respiratory dysfunction, which increases mortality, daytime sleepiness and fatigue, and reduces the quality of life. Respiratory function tests are required to identify respiratory function decline and to consider compensatory management. This review summarizes the characteristics of several respiratory function tests and their applications to neurological diseases.

• Journal of Oral Medicine and Pain
• /
• 제41권3호
• /
• pp.126-132
• /
• 2016

Purpose: The aims of this study were to analyze the association between inflammatory cytokine and obstructive sleep apnea (OSA), and to evaluate treatment outcome and changes of plasma inflammatory cytokine levels after oral appliance therapy. Methods: Twenty-seven subjects who visited Department of Oral Medicine in Seoul National University Dental Hospital were performed nocturnal polysomnography and analyzed plasma C-reactive protein (CRP), interleukin (IL)-$1{\beta}$, IL-6, IL-10, and tumor necrosis factor (TNF)-${\alpha}$ levels. Each subject was evaluated with Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS). The subjects were classified into 12 OSA patients (apnea-hypopnea index [AHI] >5) and 15 control (AHI ${\leq}5$) groups. The OSA group was treated with mandibular advancement device (MAD) for 3 months and re-evaluated nocturnal polysomnography and plasma inflammatory cytokine levels. Results: Plasma TNF-${\alpha}$, IL-10, and IL-6 levels were significantly higher in OSA patients compared to controls. Total AHI showed significant positive correlations with plasma IL-6 and TNF-${\alpha}$ levels. Percentage time of $SpO_2$ <90 and lowest $SpO_2$ were significantly correlated with plasma TNF-${\alpha}$ level. ESS showed significant positive correlation with plasma IL-10 level. Total AHI, percentage time of $SpO_2$ <90, lowest $SpO_2$, and mean $SpO_2$ were significantly improved after the MAD therapy. Plasma TNF-${\alpha}$ level was significantly decreased after MAD therapy. Conclusions: We suggest that MAD therapy is an effective treatment modality for patients with OSA and can decrease plasma cytokine level.

• Asian-Australasian Journal of Animal Sciences
• /
• 제29권3호
• /
• pp.390-395
• /
• 2016

This study was conducted to investigate the effect of nocturnal light pulses (NLPs) on the feed intake and metabolic rate in geese. Fourteen adult Chinese geese were penned individually, and randomly assigned to either the C (control) or NLP group. The C group was exposed to a 12L:12D photoperiod (12 h light and 12 h darkness per day), whereas the NLP group was exposed to a 12L:12D photoperiod inserted by 15-min lighting at 2-h intervals in the scotophase. The weight of the feed was automatically recorded at 1-min intervals for 1 wk. The fasting carbon dioxide production rate ($CO_2$ PR) was recorded at 1-min intervals for 1 d. The results revealed that neither the daily feed intake nor the feed intakes during both the daytime and nighttime were affected by photoperiodic regimen, and the feed intake during the daytime did not differ from that during the nighttime. The photoperiodic treatment did not affect the time distribution of feed intake. However, NLPs lowered (p<0.05) the mean and minimal $CO_2$ PR during both the daytime and nighttime. Both the mean and minimal $CO_2$ PR during the daytime were significantly higher (p<0.05) than those during the nighttime. We concluded that NLPs lowered metabolic rate of the geese, but did not affect the feed intake; both the mean and minimal $CO_2$ PR were higher during the daytime than during the nighttime.

• 한국대기환경학회지
• /
• 제32권4호
• /
• pp.372-383
• /
• 2016

This study aimed at analyzing the sensitivity of ozone simulation in accordance with the meteorological nudging for a high nocturnal ozone episode. To demonstrate the effectiveness of nudging methods (e.g., nudging techniques and application domains), the following six experiments were designed: (1) control without nudging, (2) experiment with application of observation nudging to all domains (domain 1~4), and (3)~(6) experiments with application of grid nudging to domain 1, domain 1~2, domain 1~3 and all domains, respectively. As a result, the meteorological nudging had a direct (improvement of input data) and indirect (estimate natural emission) effect on ozone simulation. Nudging effects during the daytime were greater than those during the nighttime due to low accuracy of wind direction during the nighttime. On comparison of the nudging techniques, the experiments in which grid nudging was applied showed more improved results than the experiments in which observation nudging was applied. At this time point, the simulated concentrations were generally similar to the observed concentrations due to the increase in the nudging effect when grid nudging was applied up to the sub-domain. However, for high nocturnal ozone uptakes, the experiment in which grid nudging was applied do domain 1~3 showed better results than the other experiments. This is because, when grid nudging was applied to the high resolution domain (e.g., domain 4 with 1 km), the local characteristics were removed due to the smoothing effects of meteorological conditions.

• Asian Pacific Journal of Cancer Prevention
• /
• 제14권3호
• /
• pp.1865-1877
• /
• 2013

Vertical variations of polycyclic aromatic hydrocarbon (PAH) concentrations in $PM_{10}$ were investigated in order to assess the factors controlling their behavior in the urban atmosphere of Bangkok City, Thailand. Air samples were collected every three hours for three days at three different levels at Bai-Yok Suit Hotel (site-1 and site-2) and Bai-Yok Sky Hotel (site-3) in February $18^{th}-21^{st}$, 2008. The B[a]P concentration showed a value 0.54 fold, lower than the United Kingdom Expert Panel on Air Quality Standard (UK-EPAQS; i.e. 250 pg $m^{-3}$) at the top level. In contrast, the B[a]P concentrations exhibited, at the ground and middle level, values 1.50 and 1.43 times higher than the UK-EPAQS standard respectively. PAHs displayed a diurnal variation with maximums at night time because of the traffic rush hour coupled with lower nocturnal mixing layer, and the decreased wind speed, which consequently stabilized nocturnal boundary layer and thus enhanced the PAH contents around midnight. By applying Nielsen's technique, the estimated traffic contributions at Site-3 were higher than those of Site-1: about 10% and 22% for Method 1 and Method 2 respectively. These results reflect the more complicated emission sources of PAHs at ground level in comparison with those of higher altitudes. The average values of incremental individual lifetime cancer risk (ILCR) for all sampling sites fell within the range of $10^{-7}-10^{-6}$, being close to the acceptable risk level ($10^{-6}$) but much lower than the priority risk level ($10^{-4}$).

• 한국환경과학회:학술대회논문집
• /
• 한국환경과학회 2003년도 International Symposium on Clean Environment
• /
• pp.19-26
• /
• 2003

The dispersion of recycled particulates in the complex coastal terrain containing Kangnung city, Korea was investigated using a three-dimensional non-hydrostatic numerical model and lagrangian particle model (or random walk model). The results show that particulates at the surface of the city that float to the top of thermal internal boundary layer (TIBL) are then transported along the eastern slope of the mountains with the passage of sea breeze and nearly reach the top of the mountains. Those particulates then disperse eastward at this upper level over the coastal sea and finally spread out over the open sea. Total suspended particulate (TSP) concentration near the surface of Kangnung city is very low. At night, synoptic scale westerly winds intensify due to the combined effect of the synoptic scale wind and land breeze descending the eastern slope of the mountains toward the coast and further seaward. This increase in speed causes development of internal gravity waves and a hydraulic jump up to a height of about 1km above the surface over the city. Particulate matter near the top of the mountains also descends the eastern slope of the mountains during the day, reaching the central city area and merges near the surface inside the nocturnal surface inversion layer (NSIL) with a maximum ground level concentration of TSP occurring at 0300 LST. Some particulates were dispersed following the propagation area of internal gravity waves and others in the NSIL are transported eastward to the coastal sea surface, aided by the land breeze. The following morning, particulates dispersed over the coastal sea from the previous night, tend to return to the coastal city of Kangnung with the sea breeze, developing a recycling process and combine with emitted surface particulates during the morning. These processes result in much higher TSP concentration. In the late morning, those particulates float to the top of the TIBL by the intrusion of the sea breeze and the ground level TSP concentration in the city subsequently decreases.

• Journal of Yeungnam Medical Science
• /
• 제32권2호
• /
• pp.85-89
• /
• 2015

Background: We examined the usefulness of urine osmolality, as a predictive factor in the treatment of monosymptomatic nocturnal enuresis (NE) with combination therapy of imipramine and desmopressin. Methods: From May 2014 to April 2015, 59 monosymptomatic NE patients participated in this study. Early morning urine osmolality was measured at 1 week and 1 day before combination therapy of imipramine and desmopressin, and at 1 week and 2 weeks after therapy. The response to combination therapy was evaluated at 3 months after treatment. The mean period of combination therapy was $6.4{\pm}4.2weeks$. Therapeutic response was classified as complete (0-1 wet night/week), partial (over 50% reduction of night) and non-responders (less than 50% reduction of night). Results: The cumulative rate of the complete and partial responders was 76.3%. Among the 3 groups, the statistically lowest value of pre-treatment urine osmolality was observed in the complete responder group (p<0.001). Urine osmolality increased in all groups after treatment, however, statistically the greatest difference between pre and post-treatment urine osmolality was observed in the complete responder group (p=0.024). No serious side effects were observed. Conclusion: Early morning urine osmolality and change of urine osmolality between pre and post-treatment have predictive values in the response to combined imipramine and desmopressin for treatment of monosymptomatic NE.

• Journal of Oral Medicine and Pain
• /
• 제40권2호
• /
• pp.63-71
• /
• 2015

Purpose: To investigate the relationship between headache and sleep by evaluating sleep quality, daytime sleepiness, and specific features related to sleep-disordered breathing (SDB). Methods: One hundred one subjects with headache and 118 healthy controls were enrolled. To collect various information on headache attacks, headache group completed self-reported questionnaire about the characteristics of headache attacks and the migraine disability assessment (MIDAS) questionnaire. The subjective quality of sleep was evaluated in all of the subjects using the Pittsburgh sleep quality index (PSQI) and Epworth sleepiness scale (ESS). In addition, the following specific features of sleep were evaluated in 28 subjects selected randomly from each group: apnea-hypopnea index (AHI), prevalence of SDB, nocturnal oxygen saturation (SaO2), and oxygen desaturation index (ODI) as measured using a portable monitoring device. Results: The global PSQI and the prevalence of poor sleeping (global PSQI >5), ESS scores and the prevalence of daytime sleepiness (ESS score >10) were significantly higher in the headache group (both p<0.0001, respectively). The mean scores on the numerical rating scale and the MIDAS were significantly higher in the poor-sleeper group than in the good-sleeper group (p=0.0347 and p=0.0016, respectively). The global PQSI and prevalence of daytime sleepiness were significantly higher in the chronic-headache group than in the acute-headache group (p=0.0003 and p=0.0312, respectively). Conclusions: There is a significant association between headache and sleep. Especially, severity and chronicity of headache were significantly associated with sleep quality and daytime sleepiness.

• 한국전자통신학회논문지
• /
• 제13권1호
• /
• pp.253-264
• /
• 2018

GPS 라디오존데는 정밀 기상 센서와 GPS 위성 네트워크에서 생성된 데이터를 사용하여 풍선이 터질 때까지 상승하면서 종관 규모의 연직 관측을 수행하도록 설계되었다. GPS 라디오존데는 정밀한 온도, 습도 및 기압 센서를 내장하고 있다. GPS 라디오존데를 사용하여 2016년 3월 9일 18시부터 2016년 3월 12일 06시까지 서해의 세 섬에서 대기경계층을 집중관측하였고, 야간 안정층이 억제되고 오히려 야간 혼합층이 발달되는 사례를 조사하였다. 야간 혼합층은 3월 9일에 지표 열플럭스에 의해 발달된 반면에 3월 10일 혼합층 높이가 가장 높았던 21시에는 시어 생성이 가장 높았다. 난류운동에너지를 생산하는 수평 바람의 연직 층밀림과 표면 열플럭스가 야간에도 혼합층을 성장시키는 데 중요한 역할을 하였다.

• 사상체질의학회지
• /
• 제21권2호
• /
• pp.144-152
• /
• 2009

1. Objective : This study aims to report symptomatic improvement of a Soyangin patient reporting general weakness, dizziness, gait disturbance, cold sensitivity, nocturnal sweating, and anorexia after treatment with Hyeongbangjihwang-tang. 2. Method : The patient's subjective and objective symptoms were observed daily, and the VAS scores for the main symptoms were recorded daily throughout the hospitalization period. 3. Result : The general condition of the patient improved by the end of the hospitalization period, where the VAS score dropped from VAS 10 to VAS 5 and the symptoms of dizziness, general weakness, cold sensitivity, and nocturnal sweating disappeared by day 4 of admission without recurrence. 4. Conclusion : Although the patient did not report diarrhea, one of the main Mangeum symptoms, the general symptoms improved with Hyeongbangjihwang-tang medication. This indicates that Hyeongbangjihwang-tang can be used to treat chief and subsidiary symptoms related to Mangeum symptomatic pattern when applied to the appropriate base and manifesting symptomology.