• Title/Summary/Keyword: nocturnal

검색결과 380건 처리시간 0.025초

그레인저 인과성 분석을 이용한 정상인과 수면무호흡증 환자의 수면 중 압수용기 반사 효과의 평가 (Evaluation of Baroreflex Effectiveness in Normal Subject and Obstructive Sleep Apnea Patient during Sleep using Granger Causality Analysis)

  • 정다운;김상경;김고근;이유진;정도언;박광석
    • 대한의용생체공학회:의공학회지
    • /
    • 제35권4호
    • /
    • pp.95-98
    • /
    • 2014
  • The baroreflex is one kind of homeostatic mechanisms to regulate acute blood pressure (BP) changes by controlling heartbeat interval (HBI). To quantify the effect of baroreflex, we suggested a new approach of analyzing Granger causality between systolic BP (SBP) and HBI. The index defined as baroreflex effectiveness (BRE) was generated by the hypothesis that more effectual baroreflex would be related to more effective Granger causal influence of SBP on HBI. Six obstructive sleep apnea (OSA) patients (apnea-hypopnea index, AHI ${\geq}5$ events/hr) and six normal subjects participated in the study. Their SBP and HBI during nocturnal sleep were obtained from a non-invasive continuous BP measurement device. While the BRE ($mean{\pm}SD$) of normal subjects was $47.0{\pm}4.0%$, OSA patients exhibited the BRE of $34.0{\pm}3.8%$. The impaired baroreflex function of OSA patients can be explained by the physiological mechanism associated with recurrent hypoxic episodes during sleep. Thus, the significantly lower BRE in OSA patients verified the availability of Granger causality analysis to evaluate baroreflex during sleep. Furthermore, the range of BRE obtained from normal subjects was not overlapped with that obtained from OSA patients. It suggests the potential of BRE as a new helpful tool for diagnosing OSA.

Where to spot: individual identification of leopard cats (Prionailurus bengalensis euptilurus) in South Korea

  • Park, Heebok;Lim, Anya;Choi, Tae-Young;Baek, Seung-Yoon;Song, Eui-Geun;Park, Yung Chul
    • Journal of Ecology and Environment
    • /
    • 제43권4호
    • /
    • pp.385-389
    • /
    • 2019
  • Knowledge of abundance, or population size, is fundamental in wildlife conservation and management. Camera-trapping, in combination with capture-recapture methods, has been extensively applied to estimate abundance and density of individually identifiable animals due to the advantages of being non-invasive, effective to survey wide-ranging, elusive, or nocturnal species, operating in inhospitable environment, and taking low labor. We assessed the possibility of using coat patterns from images to identify an individual leopard cat (Prionailurus bengalensis), a Class II endangered species in South Korea. We analyzed leopard cat images taken from Digital Single-Lense Relfex camera (high resolution, 18Mpxl) and camera traps (low resolution, 3.1Mpxl) using HotSpotter, an image matching algorithm. HotSpotter accurately top-ranked an image of the same individual leopard cat with the reference leopard cat image 100% by matching facial and ventral parts. This confirms that facial and ventral fur patterns of the Amur leopard cat are good matching points to be used reliably to identify an individual. We anticipate that the study results will be useful to researchers interested in studying behavior or population parameter estimates of Amur leopard cats based on capture-recapture models.

수면 중 호흡의 조절 (Control of Ventilation during Sleep)

  • 김우성
    • 수면정신생리
    • /
    • 제6권1호
    • /
    • pp.19-25
    • /
    • 1999
  • Sleep alters both breathing pattern and the ventilatory responses to external stimuli. These changes during sleep permit the development or aggravation of sleep-related hypoxemia in patients with respiratory disease and contribute to the pathogenesis of apneas in patients with the sleep apnea syndrome. Fundamental effects of sleep on the ventilatory control system are 1) removal of wakefulness input to the upper airway leading to the increase in upper airway resistance, 2) loss of wakefulness drive to the respiratory pump, 3) compromise of protective respiratory reflexes, and 4) additional sleep-induced compromise of ventilatory control initiated by reduced functional residual capacity on supine position assumed in sleep, decreased $CO_2$ production during sleep, and increased cerebral blood flow in especially rapid eye movement(REM) sleep. These effects resulted in periodic breathing during unsteady non-rapid eye movement(NREM) sleep even in normal subjects, regular but low ventilation during steady NREM sleep, and irregular breathing during REM sleep. Sleep-induced breathing instabilities are divided due primarily to transient increase in upper airway resistance and those that involve overshoots and undershoots in neural feedback mechanisms regulating the timing and/or amplitude of respiratory output. Following ventilatory overshoots, breathing stability will be maintained if excitatory short-term potentiation is the prevailing influence. On the other hand, apnea and hypopnea will occur if inhibitory mechanisms dominate following the ventilatory overshoot. These inhibitory mechanisms include 1) hypocapnia, 2) inhibitory effect from lung stretch, 3) baroreceptor stimulation, 4) upper airway mechanoreceptor reflexes, 5) central depression by hypoxia, and 6) central system inertia. While the respiratory control system functions well during wakefulness, the control of breathing is commonly disrupted during sleep. These changes in respiratory control resulting in breathing instability during sleep are related with the pathophysiologic mechanisms of obstructive and/or central apnea, and have the therapeutic implications for nocturnal hypoventilation in patients with chronic obstructive pulmonary disease or alveolar hypoventilation syndrome.

  • PDF

Study on the Assessment of Closed Trails at National Parks in the Baekdudaegan Mountains, South Korea

  • Kim, In-Kyu;Lee, Joon-Woo;Cho, Woo
    • 한국환경생태학회지
    • /
    • 제29권1호
    • /
    • pp.21-28
    • /
    • 2015
  • This study examined the habitat status of wild birds at closed-trails and the control group of opened-trails in the national park of the Baekdudaegan mountains. After evaluating each area based on this, it's aimed at being utilized as basic data for future national park management and opening of trails. Upon field investigations and analyzing existing literary materials, it was found that there were a total of 76 bird species living around the trails. Among them, it was confirmed that 60 species can breeding and 10 species are protected by law. Upon assessing the scores of each area according to the evaluation standards of this study, Area I had 7 scores, area II had 13 scores, area III had 5 scores, and area IV had 16 scores, showing that the control group open-trail area IV between Jeongryeongchi and Seongsamjae had the highest score, and that area III of Wolyeongdae~Chotdaebong~Daeyasan~Miljae~Wolyeongdae had the lowest score. Evaluation of closed-trail according to wild bird species (Avifauna) was attempted in this study, but there were more bird species living in open-trails, while also having higher evaluation scores. Therefore, if opening trail is needed in the future due to excessive desires of visitors or inevitable social demands, it is judged that various environmental factors including mammals highly affected by people should be evaluated to open up the sector with the lowest score. Also, it is judged that through methods such as reservation systems, the number of visitors should be controlled or night-time hikes should be prohibited so that nocturnal wildlife can freely use the trails.

폐쇄성 수면 무호흡증의 심각도와 심박동 변이율 : 탈경향변동분석 (Severity of Obstructive Sleep Apnea and Heart Rate Variability : Detrended Fluctuation Analysis)

  • 주가원;신철진;박두흠
    • 생물정신의학
    • /
    • 제16권2호
    • /
    • pp.69-75
    • /
    • 2009
  • Objectives : The detrended fluctuation analysis is one of the nonlinear methods for the investigation of biological time series. It quantifies the fractal scaling properties and is known to be useful in the evaluation of long-range correlations in time series. The heart rate variability(HRV) of obstructive sleep apnea syndrome (OSAS) patients during nighttime was analyzed by detrended fluctuation analysis to assess its relationship with the severity of the symptoms. Methods : Fifty nine untreated male OSAS patients with moderate to severe symptoms(mean age=45.4${\pm}$11.7 years, apnea-hypopnea index, AHI${\geq}$15) underwent nocturnal polysomnography. Moderate(AHI=15-30, N=22) and severe(AHI>30, N=37) OSAS patients were compared for the indices derived from detrended fluctuation analysis and frequency domain analysis of HRV. Results : In the detrended fluctuation analysis, the alpha values were 0.75${\pm}$0.11 and 0.82${\pm}$0.07 for the severe and the moderate OSAS groups respectively. The difference was significant(p<.01). The alpha value had negative correlation with AHI(r=-.425, p=.001). Negative correlation coefficients were also found in the relationships between the alpha values and very low frequency(VLF)(r=-.425, p=.001), low frequency(LF)(r=-.633, p= <.001) and the LF/HF ratio(r=-.305, p=.019) respectively. LF/HF ratio(p=.005) was higher in the severe OSAS group compared to that of the moderate OSAS group. Conclusion : In this study, the detrended fluctuation analysis showed the significant difference between the two OSAS groups classified according to their severity of symptoms. The scaling exponent showed the negative correlation with AHI and indicies of frequency domain analysis. This result suggests that detrended fluctuation analysis can be helpful to estimate the severity of OSAS.

  • PDF

야간통을 주증으로 한 요추 추간판 탈출증 환자에 대한 사물탕가감방과 추나요법병행치료 증례보고 (A Case Report of Nocturnal pain in Patients Diagnosed with HIVD of L-spine Treated by Samul-tang(Siwu-tang) Gagam and Chuna Manual Treatment)

  • 송광찬;서지연;조명의;송승배;문희영;권옥준;주영국;김길환
    • 척추신경추나의학회지
    • /
    • 제12권2호
    • /
    • pp.43-52
    • /
    • 2017
  • Objectives : To report cases of HIVD of L-Spine successfully treated with Korean medical treatment including Samul-tang(Siwu-tang) Gagam. and Chuna manual treatment. Methods : Three patients diagnosed with HIVD of L-Spine were treated with Korean medical treatment including Samul-tang(Siwu-tang) Gagam and Chuna manual treatment. Numeric Rating Scale(NRS), Oswestry low back pain Disablility Index(ODI) scores and EQ-5D were collected before and after treatment for comparison. Results : There was a significant decrease in NRS, ODI scores.And, there was a significant increase EQ-5D. The mean NRS score decresed from 10 to 1.33, ODI from 66.66 to 8.88. Tne mean EQ-5D score incresed from 0.225 to 0.856. Conclusion : The result suggests Korean medical treatment including Samul-tang(Siwu-tang) Gagam and Chuna manual treatment can be an effective treatment on patients with HIVD of L-Spine.

  • PDF

오존농도 예측 정확도 향상을 위한 자료동화기법에 따른 WRF모델의 기상민감도 연구 (Sensitivity Analysis of the WRF Model according to the Impact of Nudging for Improvement of Ozone Prediction)

  • 김태희;정주희;김유근
    • 한국환경과학회지
    • /
    • 제25권5호
    • /
    • pp.683-694
    • /
    • 2016
  • Sensitivity analysis of the WRF model according to the impact of nudging (e.g., nudging techniques and application domains) was conducted during high nocturnal ozone episode to improve the prediction of the regional ozone concentration in the southeastern coastal area of the Korean peninsula. The analysis was performed by six simulation experiments: (1) without nudging (e.g., CNTL case), (2) with observation nudging (ONE case) to all domains (domain 1~4), (3) with grid nudging (GNE case) to all domains, (4)~(6) with grid nudging to domain 1, domain 1~2 and domain 1~3, respectively (GNE-1, GNE-2, GNE-3 case). The results for nudging techniques showed that the GNE case was in very good agreement with those observed during all analysis periods (e.g., daytime, nighttime, and total), as compared to the ONE case. In particular, the large effect of grid nudging on the near-surface meteorological factors (temperature, relative humidity, and wind fields) was predicted at the coastline and nearby sea during daytime. The results for application domains showed that the effects of nudging were distinguished between the meteorological factors and between the time periods. When applied grid nudging until subdomain, the improvement effects of temperature and relative humidity had differential tendencies. Temperature was increased for all time, but relative humidity was increased in daytime and was decreased in nighttime. Thus, GNE case showed better result than other cases.

육미지황원(六味地黃元)의 형상의학적(形象醫學的) 고찰 (Study about Yukmigiwhangwon in the Point of Hyungsang Medicine)

  • 강유식;이용태
    • 동의생리병리학회지
    • /
    • 제20권5호
    • /
    • pp.1089-1101
    • /
    • 2006
  • Following conclusions are drawn from study about Yukmigiwhangwon through referring to literatures and reviewing in the point of Hyungsang medicine. Yukmigiwhangwon was prescribed by Jeon Eul in order to cure five kinds of flaccidity of infants, but after since then it has been basically applied to symptoms which was caused by deficiency of the kidney not only infants but also adult. The deficiency of kidney is the lack of vital essence and body fluid stored in kidney, it happens because infants are born in the conditions of lack of receiving in the womb. And it happens because adults infringe the rules of life, especially the sexual life. Main symptoms of the poverty of renal functions are emptiness of the brain marrow, dizziness, forgetfulness, tinnitus, deafness, vertigo and dim eyesight, insomnia, the low back and knees aching and limping, heat on the legs, tibia aching, nocturnal emission, dry mouth, reddened tongue and little coating or non coating of the 'tongue, weak blood meridians. the treating method is nourishing Eum and supplementing kidney. In Dongeuibogam Yukmigiwhangwon is mentioned in the parts of vital essence, blood, voice, kidney, urine, eye, ear, the low back, hair, fire, exhaustion syndrome, cough, polydipsia, infant, etc. The shapes which Yukmigiwhangwon is applied to are the Dam Body Doing deficiency of Eum due to excess of Yang, man, infant, Jung type, Fish group, reverse triangular shape, big headed man, big eared man, big mouthed man, man having prominent cheekbones, man having long waist, man having big hips, man with thick hair or white hair, man with bald on the head, etc. In color it is applied to darkish complexion, flushed tip of the nose, or flushed cheek bones. Through inquiring into the clinical cases on the points of Hyungsang medicine Yukmigiwhangwon is efficacious cure to lumbago, symptoms of tendons and bones, symptoms of eyes and ears, symptoms of respiratory organs, dermatopathia, headache, polydipsia, urinary disorders, etc.

The Long-term Efficacy of Domiciliary Noninvasive Positive-Pressure Ventilation in Chronic Obstructive Pulmonary Disease: A Meta-Analysis of Randomized Controlled Trials

  • Park, So Young;Yoo, Kwang Ha;Park, Yong Bum;Rhee, Chin Kook;Park, Jinkyeong;Park, Hye Yun;Hwang, Yong Il;Park, Dong Ah;Sim, Yun Su
    • Tuberculosis and Respiratory Diseases
    • /
    • 제85권1호
    • /
    • pp.47-55
    • /
    • 2022
  • Background: We evaluated the long-term effects of domiciliary noninvasive positive-pressure ventilation (NIPPV) used to treat patients with chronic obstructive pulmonary disease (COPD). Methods: Databases were searched to identify randomized controlled trials of COPD with NIPPV for longer than 1 year. Mortality rates were the primary outcome in this meta-analysis. The eight trials included in this study comprised data from 913 patients. Results: The mortality rates for the NIPPV and control groups were 29% (118/414) and 36% (151/419), suggesting a statistically significant difference (risk ratio [RR], 0.79; 95% confidence interval [CI], 0.65-0.95). Mortality rates were reduced with NIPPV in four trials that included stable COPD patients. There was no difference in admission, acute exacerbation and quality of life between the NIPPV and control groups. There was no significant difference in withdrawal rates between the two groups (RR, 0.99; 95% CI, 0.72-1.36; p=0.94). Conclusion: Maintaining long-term nocturnal NIPPV for more than 1 year, especially in patients with stable COPD, decreased the mortality rate, without increasing the withdrawal rate compared with long-term oxygen treatment.

한국 동해에 서식하는 대게류(Chionoecetes spp.) 유생의 수직 분포 특성 (Vertical Distribution Characteristics of Snow Crab Chionoecetes spp. Larvae in the East Sea)

  • 이현규;이보람;이정훈;이승종;지환성
    • 한국수산과학회지
    • /
    • 제56권2호
    • /
    • pp.221-227
    • /
    • 2023
  • The vertical distribution of snow crab Chionoecetes spp. larvae in the East Sea were investigated in April 2021 using the Multiple Opening/Closing Net and Environmental Sensing System (MOCNESS). The water temperature ranged from 0.86 to 17.2℃, and salinity from 34.0 to 34.7 psu. Zoea I and II occurred range from 29 to 1,982 inds.103 m-3 at 10 stations, and range from 4 to 11 inds.103 m-3 at 3 stations, separately. Therefore, Zoea I occurred in wider area and higher density than Zoea II at all stations. In the vertical distribution of larvae, all zoeal stages were mainly distributed in the 30-40 m strata, and the larvae showed nocturnal vertical migration similar to that of most zooplankton. Zoea I appeared in the range from 13.7 to 15.8℃ and occurred at the highest density of 1982 inds.103 m-3 at 14℃. And Zoea II appeared range from 13.4 to 14.5℃ and occurred in the highest density of 11 inds.103 m-3 at 13.4℃. In conclusion, the early larval stage (zoea I) occurred at a higher range of sea surface temperature than later larval stage (zoea II).