Relationship between Depression and Sleep Patterns of Middle School Student in Seoul / 신경정신의학

OBJECTIVE: This study examined the association between the sleep patterns and depression of middle school students in Seoul. METHODS: 450 adolescents attending middle school (mean age 14.07 years, 40% male) responded to the survey. The participants answered the self-administered questionnaires about sleep patterns (Morningness-Eveningness Questionnaire, MEQ), sleep problems (Insomnia Severity Index, ISI ; Epworth Sleepiness Scale, ESS), and depressive symptoms (Children's Depression Inventory, CDI). RESULTS: The depressive group represented 25.9% of the total study sample with females exhibiting higher depressive index scores than males. Although the difference in the total sleeping time between the depressive group and control group was unspecified, the ISI and ESS scores were significantly higher in the depressive group than in the control group. In addition, there was a significant positive correlation between the total ISI and CDI scores. Those who scored higher than 8 on the ISI were 2.24 times more likely to belong to the depressive group, and those who scored higher than 7 on the ESS were 2.23 times more likely to belong to the depressive group. CONCLUSION: The depressive group tended to suffer from insomnia and experience more severe daytime sleepiness than students in the control group. In addition, students suffering from more severe insomnia tended to have higher CDI scores than their counterparts. Furthermore, students suffering from insomnia and/or experiencing daytime sleepiness were at least twice as likely to develop depression than other students.

Topographical Morphology of the Lingual Artery in Korean / 체질인류학회지

In order to clarify the topographical morphology of the Korean lingual artery related to clinical problems, authors investigated the morphological variations of the lingual artery through the dissection of the deep layer of head and neck. 61 -sides of Korean adult cadavers (mean age 57.8) were used for this study. The morphlogy of the origin sites of the lingual artery were classified into three types. The cases that the superior thyroid, lingual, and facial artery were originated independently from the external carotid artery were most common (56.3%). Others were the cases that the lingual artery and the facial artery were divided from the linguofacial trunk (31.2%), and the cases that the superior thyroid artery and the lingual artery were divided from the thyreolingual trunk (12.5%) from the external carotid artery, respectively. In the topographical relationships between the first part of the lingual artery and the hyoglossus muscle, the cases that the first part of the lingual artery formed loop posterior to the hyoglossus muscle (41.2%) and the cases that the lingual artery penetrated into the medial aspect of the hyoglossus muscle passing the posterior border of this muscle (66.1%) were observed most frequently. Others were the cases that the lingual artery penetrated into the posterior muscle fiber (18.6%) and the middle muscle fiber (15.3%) of the hyoglossus muscle. The courses of the second part of the lingual artery deep to the hyoglossus muscle could be classified into two morphlogical types. One was that the second part of the lingual artery ran superiorly from the origin site and then turned abruptly towards deep portion of hyoglossus muscle. In these cases, the artery turned upward again at the inside of the muscle, and then reached to the sublingual region (42.6%). The other cases were that the lingual artery ran gradually to the medial and superior aspect of the sublingual region (57.4%). The prevalency of the sublingual arteries originating from the lingual arteries was 59%. Taken all together, authors concluded that the mouth floors of Korean are supplied by both the lingual and facial artery. So, performing the hemostatic procedures in the mouth floor region, the surgeon must take a topographical anatomy of this region related the arterial supply into account.