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Diagnostic Confusion of Nocturnal Paroxysmal Motor Activity
SONGPAMELA 대한수면연구학회 2016 Journal of sleep medicine Vol.13 No.2
It is a significant challenge for the clinician to make distinction between nocturnal epilepsy form non-epileptic sleep disorders. Although in some patients, diagnosis is easy to achieve but sometimes not. At times even with help of polysomnogram and electroencephalogram, diagnostic confusion remains. We present two cases of nocturnal paroaxysmal events, which still need elucidate diagnosis.
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Subjective Sleep Disturbances of Factory Workers in Relation to Shift Work Schedule and Chronotype
SONGPAMELA,최수정,주은연 대한수면연구학회 2016 Journal of sleep medicine Vol.13 No.2
Shift work in Korea is most prevalent in automobile system manufacturing industries. The subjective sleep complaints and individual chronotypes of shift worker was evaluated. Methods: A cross-sectional study was conducted among single automobile system manufacturing industries in Korea. All participants completed questionnaires about the work schedule, duration of sustained employment and various division of work. And sleep questionnaires including: Epworth Sleepiness Scale, Insomnia Severity Index, Hospital Anxiety and Depression Scale, and Morningness-Eveningness Questionnaire. Results: This study enrolled 208 participants [shift workers (SWs)=142, day workers (DWs)=66]. Insomnia symptoms were significantly worse in the SW group (p<0.001). Excessive daytime sleepiness was not significantly different between groups. The evening chronotype in DWs was related to both excessive daytime sleepiness (EDS) (p=0.008) and insomnia (p=0.034). On the other hand, chronotypes in SWs were not significantly different in terms of EDS and insomnia. Conclusions: Insomnia symptoms were significant in SWs compare to DWs. In DWs the evening types were sleepier and had more insomnia symptoms than other chronotypes. The sleep symptoms are prevalent in automobile industries workers, and in part it is related to work schedule and individual chronotype.
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SONGPAMELA 대한수면연구학회 2022 Journal of sleep medicine Vol.19 No.1
Technological advances over the years have led to the widespread use and popularity of consumer wearable devices. Although polysomnography and actigraphy are standard tools for objective evaluation of sleep, common wearable devices that can be used daily can aid with diagnosis and management of sleep disorders. Accelerometer and photoplethysmography sensors are included both in actigraphy and wearable devices; therefore, the wearable device functions as an actigraphy tool to analyze sleep architecture. Easy accessibility, cost-effectiveness, and ease of long-term monitoring serve as advantages of this device; however, scientific validation is warranted to promote the use of the commercial apparatus as a medical device.
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이서영,최수정,서수연,SONGPAMELA,주은연 대한수면연구학회 2018 Journal of sleep medicine Vol.15 No.1
Objectives: It is a paradox that sleep technicians are at risk of shift work sleep disorder to help diagnose other people’s sleep disorder. Until now, there have been no guidelines for scheduling shifts for sleep technicians. The purpose of this study was to survey the current shift schedule of sleep technicians. Methods: We performed a nationwide survey of work schedules for sleep laboratories. We sent email questionnaires to sleep technicians working in university-affiliated hospitals. Information regarding starting time and duration of shift, duty on- duty off pattern for the past month, and rotation and number of sleep technicians in the sleep labs were collected. Results: We received responses from 29 sleep labs. Among the 25 labs which had designated sleep technicians, three labs had night shift schedules mixed with day work on a weekly basis and the remaining 22 labs had night only shift schedule. In cases of night only shift schedules, 11 labs alternated from night shift to day shift works or vice versa every 3 months to 3 years, while the remaining 11 labs had fixed schedules without daytime rotation. Number of night shift was four or less per week, with shift durations of 9–19 hours. Conclusions: The current policies regarding scheduling shifts varied vastly depending on individual sleep labs. We found that some labs had shift schedules with long work time, quick returns, or permanent night shifts, which are generally not recommended. Further studies are needed to develop consensus guidelines for scheduling shift of sleep technicians.
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석진명,나은진,김슬기,박종규,박은경,SONGPAMELA,양광익 대한수면연구학회 2022 Journal of sleep medicine Vol.19 No.1
Objectives: Various sensory symptoms have been recognized after COVID-19 vaccination. Here, we aimed to explore the association between the suggestive symptom of restless legs syndrome (RLSss) and COVID-19 vaccination using an online survey.Methods: We prospectively studied participants who were working in our hospital after at least the first dose of the ChAdOx1 or BNT162b2 mRNA vaccine. The participants were invited via smartphone messages and voluntarily filled out an online questionnaire that included adverse events after vaccination. We considered the participants as having RLSss if they reported that they had three or more symptoms in the restless legs syndrome (RLS) diagnostic criteria.Results: A total of 628 participants (506 female; mean age, 37.7±12.4 years) responded fully to our online survey. 588 participants (93.6%) received the first dose of the ChAdOx1 vaccine (BNT162b2 mRNA vaccine for 40 participants). A total of 44 out of the 628 participants (7.0%) reported that they had RLSss. Myalgia was more common in participants with RLSss than in those without RLSss (97.7% vs. 67.3%, p<0.001). Multivariate testing showed that age (odds ratio, 1.037 per 1 year increase; 95% CI, 1.004–1.071) and the presence of myalgia (odds ratio, 20.479; 95% CI, 4.266–368.206) were associated with the presence of RLSss.Conclusions: This pilot study explored RLSss after COVID-19 vaccination and the results suggested that RLS might be one of the causes of adverse symptoms after COVID-19 vaccination. Further studies are required to confirm the relationship between RLS and COVID-19 vaccination.
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Neurolymphomatosis presenting as brachial plexopathy with involvement of cranial nerves
Hye Jung Lee,Keun Soo Kim,SONGPAMELA,Jae-Jung Lee,Jung-Joon Sung,Kyomin Choi,Bohyun Kim,Joong-Yang Cho 대한임상신경생리학회 2018 Annals of Clinical Neurophysiology Vol.20 No.1
Neurolymphomatosis (NL) is a rare disease characterized by lymphomatous invasion of the cranial or peripheral nerves by lymphoma. A high suspicion is important due to the various presenting symptoms mandating consideration of many differential diagnoses. We report a case of NL of the cranial nerves and plexus presenting as diplopia, facial palsy, and weakness of the upper and lower limbs in sequence.
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원위부 내경동맥혈전증 및 진균동맥류파열 합병증을 동반한 치명적 코눈대뇌털곰팡이증
백영민,박혜진,주미,정규윤,김아로,김지은,이혜정,홍근식,조중양,박희경,SONGPAMELA,조용진 대한신경과학회 2015 대한신경과학회지 Vol.33 No.3
Mucormycosis is a rare opportunistic infection caused by fungi of the order Mucorales that typically occurs in patients with diabetes or immunocompromised state. Rhino-orbital-cerebral mucormycosis is the most common type, often has a life-threatening outcome. Mucormycosis has specific vascular tropism complicating mucorthrombosis or mycotic aneurysm. We report a diabetic patient presenting with ophthalmoplegia, orbital necrosis, and contralateral hemiparesis, who suddenly progressed to coma and died of subarachnoid hemorrhage due to the rupture of mycotic aneurysm in distal internal carotid artery.
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