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순환교대근무 간호사의 일주기유형에 따른 근무조별 수면시간, 사회적 시차, 주관적 수면장애 비교
최수정(Choi, Su Jung),주은연(Joo, Eun Yeon),김경숙(Kim, Kyeong Sug) 한국기초간호학회 2021 Journal of korean biological nursing science Vol.23 No.3
Purpose: The purpose of this study was to investigate the sleep duration, social jetlag (SJL), and subjective sleep disturbance according to the individual chronotype in rotating shift nurses. Methods: A total of 344 rotating 3-shift nurses (mean age 28.67 years) were recruited at one university affiliated hospital. They completed the following questionnaires, which were used to assess their chronotype and sleep: the morningness-eveningness questionnaire (MEQ), self-reported sleep duration of work days (SDWshift) and free days (SDFshift) in each shift (day [D], evening [E], night [N]), and sleep disturbance (Insomnia severity index, ISI). SJLshift was calculated as the difference in midsleep (MS= sleep onset+1/2 sleep duration) between work days (MSW) and free days (MSF). Results: Subjects were divided into 3 chronotype groups according to the MEQ; morning (MG, 4.4%) intermediate (IG, 57.8%), and evening groups (EG, 37.8%). SDWD was shortest (4.68 hr) and SDFE was longest (8.93 hr) in the EG. SJLD was longest in the EG (3.77 hr), and SJLN was longest in the MG (7.37 hr). The prevalence of sleep disturbance was 33.3% (MG), 29.6% (IG), and 40.0% (EG), respectively, without any statistical significance. Conclusion: In order to improve the sleep of shift workers, it is recommended that the evening chronotypes should reduce the day shifts and the morning chronotypes should reduce the night shifts. We also propose a study to determine whether these shift assignments can improve the sleep in shift nurses.
김애리(Aeree Kim),이지원(Jiwon Lee),주은연(Eun Yeon Joo),이지훈(Jeehun Lee),이문향(Munhyang Lee) 대한소아신경학회 2016 대한소아신경학회지 Vol.24 No.1
Purpose: The objectives of this study were to identify the characteristics of sleep disorders in children with epilepsy complaining of sleep problems, and to find out sleep-related factors that influence on the prognosis of epilepsy. Methods: We retrospectively reviewed medical records and polysomnographic data of 94 children (mean age 13.7±3.8 years), who visited our hospital for epilepsy between March 2001 and December 2014. The patients were evaluated with polysomnography and a questionnaire about sleepiness. We compared clinical characteristics between patients with and without sleep disorders. We analyzed the differences of sleep parameters between the prognostic groups of epilepsy. Results: The patients enrolled in this study complained of various sleep problems, such as snoring, apnea, mouth-breathing, excessive daytime sleepiness, and insomnia. Sleep disorders were diagnosed in 46 patients (48.9%). Obstructive sleep apnea was the most common sleep disorder (n=26), followed by narcolepsy (n=8) and periodic limb movement disorder (n=8). Patients with poor prognosis showed decrease of stage 3-4 sleep (P=0.010). There was no significant correlation between the presence of sleep disorders and seizure control (P=0.053). Conclusion: Various sleep complaints and sleep disorders are commonly found in children with epilepsy. Polysomnographic analysis of patients with uncontrolled seizure indicates a decline in sleep quality. Screening sleep problems and performing diagnostic test with polysomnography in patients with sleep problems is recommended in pediatric patients with epilepsy.
한국 소아청소년 기면증의 임상양상 및 수면다원검사의 특징
이지원(Ji Won Lee),박유진(Eu Gene Park),주은연(Eun Yeon Joo),이지훈(Jee Hun Lee) 대한소아신경학회 2016 대한소아신경학회지 Vol.24 No.3
목적: 소아청소년에서의 기면증은 다양한 양상으로 나타날 수 있고 환자들이 증상을 모호하게 표현할 수 있어 진단하기 까다로운 질환이다. 본 연구는 소아청소년의 기면증의 임상 양상 및 수면검사의 특징을 기술하고 발병나이와 탈력발작의 유무에 따른 차이점을 알아보고자 하였다. 방법: 2002년 2월부터 2015년 6월까지 삼성서울병원에서 병력청취와 수면다원검사를 통해 기면증을 진단받은 78명의 소아청소년 환자를 대상으로 의무기록과 수면다원검사 결과를 발병나이와 탈력발작의 유무에 따라 후향적으로 고찰하였다. 결과: 기면증을 진단받은 나이는 15.51±2.7세였고 증상은 13.03± 2.79세에 시작되었다. 10명(12.8%)의 환자가 10세 이전에 증상발현을 보였고 41명(52.6%)은 탈력발작을 동반한 기면증으로 진단되었다. 모든 환자가 첫 증상으로 과도한 주간 졸림증을 호소하였고, 수면마비와 입면환각은 13%와 8%에서 보고되었다. 수면잠복기 반복검사에서는 짧은 평균 수면잠복기와 평균 3회 이상의 입면 렘수면기가 관찰되었다. 발병나이에 따라 동반 수면질환의 종류가 다양하였으나, 수면지표간의 차이는 없었다. 탈력발작을 동반한 기면증 환자들의 경우 탈력발작을 동반하지 않은 환자들보다 Epworth Sleepiness Scale이 유의하게 높았으며, 수면잠복기 반복검사에서 평균 수면잠복기가 더 짧았다(P<0.05). 결론: 소아청소년의 기면증은 과도한 주간졸음을 호소하는 소아에서 고려해야 할 질환으로 탈력발작이 동반되지 않은 환자가 50% 이상 이었으며 약 2/3의 환자가 약제에 좋은 치료반응을 보였다. 발병연령에 따라 동반되는 수면질환의 분포가 다르며, 탈력발작이 동반되는 경우 졸림증이 더욱 심한 특징을 보였다. 수면관련 설문지와 수면다원검사 및 수면잠복기 반복검사를 통한 정확한 진단, 조기 치료, 그리고 장기간의 추적관찰이 필요하다. Purpose: Diagnosis of narcolepsy in childhood is challenging because of ambiguous expression of symptoms and various clinical presentations. The purpose of this study is to delineate the clinical and polysomnographic characteristics of childhood narcolepsy. Methods: This study included 78 patients who were diagnosed with narcolepsy by clinical history and polysomnography (PSG) between February 2002 and June 2015 at Samsung Medical Center. Their medical records were reviewed retrospectively and analyzed between two groups; age of symptom onset and the presence of cataplexy. Results: The age at diagnosis and symptom onset was 15.51±2.73 years and 13.03± 2.79 years. Forty-one patients (52.6%) were diagnosed with narcolepsy with cata-plexy. All exhibited excessive daytime sleepiness as the first symptom. In the multiple sleep latency test (MSLT), short sleep latency and more than 3 episodes of mean sleep onset of rapid eye movement were observed. The coexisting sleep disorders varied according to age of onset. There was no significant difference in sleep para-meters between the two age groups. The patients with cataplexy had higher scores on the Epworth Sleepiness Scale and shorter mean sleep latencies in the MSLT than those without cataplexy (P<0.05). Conclusion: Pediatric narcolepsy presents with excessive daytime sleepiness and has different co-existing sleep disorders according to age of onset. The degree of sleepiness is higher in the patients with cataplexy. Narcolepsy may be suspected in children with excessive daytime sleepiness even if they do not have cataplexy. This should be confirmed using appropriate sleep questionnaires and PSG with MSLT.
신상희 ( Sanghee Shin ),김수경 ( Su Kyung Kim ),정혜인 ( Hye-in Jung ),조성윤 ( Sung Yoon Cho ),김지현 ( Jihyun Kim ),주은연 ( Eun Yeon Joo ),안강모 ( Kangmo Ahn ),이보라 ( Bo Ra Lee ) 대한천식알레르기학회 2021 Allergy Asthma & Respiratory Disease Vol.9 No.4
Rapid-onset obesity with hypoventilation, hypothalamic, and autonomic dysregulation (ROHHAD) syndrome is a rare disease char-acterized by rapid progression of obesity and central hypoventilation with autonomic and endocrine dysregulation. There is no gold-standard diagnostic method for ROHHAD syndrome; it is diagnosed based on a years-long clinical course. For this reason, di-agnosis of ROHHAD syndrome is often delayed. In particular, ROHHAD has a high mortality rate due to cardiopulmonary arrest when quick diagnosis and appropriate intervention of central sleep apnea are not timely. We report a case in which an 11-year-old girl with central sleep apnea was diagnosed with ROHHAD syndrome: the clinical course with early breathing intervention using noninvasive positive pressure ventilation. We emphasize the importance of respiratory interventions in the clinical course of RO-HHAD syndrome. (Allergy Asthma Respir Dis 2021;9:249-254)
주은연,이은경,태우석,홍승봉 이화여자대학교 의과학연구소 2007 EMJ (Ewha medical journal) Vol.30 No.1
Objective : To present a normative database of hippocampus volume in Korean population. Methods : Seventy-two healthy volunteers(male 31, mean age 38.9years) were enrolled and underwent 1.6㎜ thickness whole brain SPGR(Spoiled Gradient Recovery) MRI. The volume of the hippocampus(HV) was calculated by the summation of the areas of all slices. The cerebrum, cerebellum and midbrain were included for the intracranial volume(ICV). Whole cerebral volume(WCV) and the ICV were calculated from multiplying total voxel count by the volume of one voxel. Subjects were all right-handed and divided into young age(15-49years, N=57) and old age group(58-83years, N=15). Mean HV, WCV, and ICV's were compared according to age, gender, and laterality. Results : Mean right HV(3350.8±368.4㎣) was significantly larger than left one(3104.3±365.8㎣) in all ages(p<.05). Women's HVs normalized to ICV in right and left sides were definitely larger than those of men although there was no difference of absolute HV between women and men. Mean WCV and ICV of men were significantly larger than those of women. Negative correlation was observed between the age and the HV, WCV, or ICV (p<.05). Conclusion : Our results showed that right HV was bigger than left one, and normalized HVs of women were larger than those of men. These findings provide normal database of HV in Korea and are important to detect unilateral or bilateral hippocampal atrophy m various brain diseases including epilepsy.