ãµãŒã¬ãã£ã¢ã³ãªãºã , æŠæ¥ãªãºã . ðäœå æèšã®ãªãã§24æéåšæã®ãã®.
- 2017幎ããŒãã«ççåŠã»å»åŠè³. ãžã§ããªãŒã»ããŒã«ããã€ã±ã«ã»ãã¹ããã·ã¥ããã€ã±ã«ã»ã€ã³ã°
å®çŸ©
æŠæ¥ãªãºã ã¯ã次ã®3ã€ã®åºæºã§å®çŸ©ã§ãã
- ãã®ãªãºã ãæåžžçãªç¶æ ïŒäŸãã°ææç¶æ ïŒã§ãçŽ24æéã®åšæãæç¶ããã
- ãã®ãªãºã ã®åšæãå ãã«ã¹ãæãã«ã¹ã«ãã£ãŠãªã»ãããããã
- ãã®ãªãºã ãæž©åºŠè£åæ§ãæã£ãŠãããã€ãŸãäžå®ç¯å²å ã®æž©åºŠã«ãããŠåšæãå€ãããªãã
æ§æèŠçŽ
- ð€ç¡ç èŠéãªãºã
- ðã¯ããã¿ã€ã: 24æéã®ãã¡ç¹å®ã®æéã«ç¡ç ããå人ã®åŸå
èªåŸç¥çµç³»ãªãºã
- å¿æãäœæž©ãèæ
å åæ³ãã«ã¢ã³ç³»
ã³ã«ããŸãŒã«ãã¡ã©ããã³
代è¬ç³»ãªãºã
ð€ç¡ç èŠéãªãºã
https://www.aeromedical.or.jp/circular/21gou.htm
ð€ç¡ç Weverã¢ãã«
ð€ç¡ç èŠé2ããã»ã¹ã¢ãã«
ç¡ç å§ãšãµãŒã«ãã£ã¢ã³èŠé床ã§ç¡ç èŠéãµã€ã¯ã«ãã¢ãã«å.
- Process S: ð€ç¡ç å§
- æ§è³ª: èµ·åºããã®çµéæéã«å¿ããŠå調å¢å
- ãªã»ãã: ç¡ç ã«ãã£ãŠã®ã¿æžå°
- ã¡ã«ããºã : ã¢ããã·ã³èç©ãã°ãªã¢çްèã®ä»£è¬ç©ãã·ããã¹å¯å¡æ§ã®é£œå
- æ²ç·: ææ°é¢æ°çã«äžæããç¡ç äžã«ææ°é¢æ°çã«æžå°
- Process C: ðãµãŒã«ãã£ã¢ã³èŠé床
- æ§è³ª: çŽ24æéåšæã§å€å
- ç¬ç«æ§: ç¡ç å§ãšã¯ç¡é¢ä¿ã«æ¯å
- ã¡ã«ããºã : èŠäº€åäžæ ž(SCN)ã®äœå æèšãã¡ã©ããã³ãã³ã«ããŸãŒã«
- æ²ç·: æ£åŒŠæ³¢çãªå€åãéåžžã¯å€æ¹ã«ããŒã¯ãæãæ¹ã«æäœ
ð€ç¡ç ããªããããããã¹ã€ããã¢ãã«
flip-flop switch.
ç¡ç äžæ¢ãšèŠéäžæ¢ã¯ãã·ãŒãœãŒãã®ããã«ãäžæ¹ã掻çºã«ãªããšä»æ¹ãæå¶ãããé¢ä¿. ãããããããããšã.
- èŠéæ: èŠéäžæ¢ãåªäœã§ããªã¬ãã·ã³ãèŠéå®è¡éšéãåŸæŒãããŠèŠéãç¶æããŸãã
- ç¡ç æ: ç¡ç äžæ¢ã掻æ§åããèŠéäžæ¢ãšãªã¬ãã·ã³ãæå¶ããŠå®å®ããç¡ç ãä¿ããŸãã
- ð€ç¡ç èŠé2ããã»ã¹ã¢ãã«ã®ççåŠ/ç¥çµç§åŠããã®å ·äœå.
- 2001ã®è«æã§äœç³»å
ç¡ç äžæ¢ (Sleep Center)
- 圹å²: ç¡ç ãèªçºããç¶æããäžæ¢ã
- äž»ãªéšäœ: èŠåºäžéšåéšïŒVLPO: è ¹å€åŽèŠçŽ¢åéïŒãªã©ã
- äž»ãªç©è³ª:
- GABAïŒæå¶æ§ç¥çµäŒéç©è³ªïŒãæŸåºããèŠéäžæ¢ã®æŽ»åãæããã
- ðã¢ããã·ã³: èº«äœæŽ»åã«ãã£ãŠäœããããèç©ãããšãç¡ç å§ãé«ãŸãç æ°ãèªããŸãã
èŠéäžæ¢ (Wakefulness Center)
- 圹å²: èŠéç¶æ ãç¶æããç¡ç äžæ¢ã®åããæããã
- äž»ãªéšäœ: è³å¹¹ç¶²æ§äœãèŠåºäžéšãè³å¹¹ãªã©ã
- äž»ãªç©è³ª:
- ð€ãªã¬ãã·ã³: èŠéã匷åã«ä¿é²ããèŠéç¶æ ãå®å®ãããéèŠãªç¥çµäŒéç©è³ªã
- ãã¹ã¿ãã³ãã»ãããã³ããã«ã¢ãã¬ããªã³: èŠéã«é¢ããä»ã®ç¥çµäŒéç©è³ªã
ðãµãŒã«ãã£ã¢ã³èŠé床
ãµãŒã«ãã£ã¢ã³èŠé床
ç¹åŸŽ
-
æ§è³ª: çŽ24æéåšæã§å€å
-
ç¬ç«æ§: ç¡ç å§ãšã¯ç¡é¢ä¿ã«æ¯å
-
ã¡ã«ããºã : èŠäº€åäžæ ž(SCN)ã®äœå æèšãã¡ã©ããã³ãã³ã«ããŸãŒã«
-
æ²ç·: æ£åŒŠæ³¢çãªå€åãéåžžã¯å€æ¹ã«ããŒã¯ãæãæ¹ã«æäœ
ç æ°æšå®
èŠéã®æ°å€å. ãšã³ãžãã¢ãªã³ã°.
- ðç¬ã, webã«ã¡ã©ããæž¬å®å¯èœ
- äœæž©
Driver Drowsiness Detection
è»ã®é転ããããç ç©¶ãããŠã. Driver Drowsiness Detection
ðα/Ξ波æ¯
- èŠé â ã¢ã«ãã¡åªå¢
- ç æ°äžæ â Ξãåé éšãäžå€®éšã§å¢ãã
- å ¥ç é·ç§»ïŒN1ïŒã§Îžãåªå¢ã«
EEG-based drowsiness index ã®åºæ¬
ð§ èŠäº€åäžæ ž
äœå æèšã®ãã¹ã¿ãŒã¯ããã¯.
æéå²
- ð€ç¡ç æ £æ§: èµ·åºåŸ90åãŸã§
- ð ååããŒã¯/Morning Peak: èµ·åºåŸ1.5æé. 4h
- ð€ãã¹ãã©ã³ããã£ãã: èµ·åºåŸ6æé. 3.5h
- ð倿¹ããŒã¯/Evening Peak: èµ·åºåŸ9.5æé. 3.5h
- ðDLMO: å°±å¯å2æé
ð€ç¡ç æ £æ§
Sleep Inertia. ç®èŠãããå®å šèŠéãŸã§ã®ç æ°ã®ç¶ç¶.
- éå§ïŒèµ·åºçŽåŸ
- ç¶ç¶æéïŒ15-90åïŒå人差ã倧ããïŒ
- æ°åã®è©äŸ¡ãç¡ç ã®è³ªãå³ãç®å®ãšãªã.
- ð¡ã³ã«ããŸãŒã«èŠéåå¿/CAR: èµ·åºåŸ30-45å.
- ð¡èµ·åºåŸ90åã¯ã³ã«ããŸãŒã«ãšã«ãã§ã€ã³ã«ãã£ãŠèŠéãçŠãã«ãªãã®ã§åããªã
best practice
- å±å€ã§10-30åã®å æé²ã
ð ååããŒã¯/Morning Peak
first peak. åç§°ãªãïŒfirst peak
- éå§ïŒèµ·åºåŸ2-4æé
- ç¶ç¶æéïŒ3-4æéçšåºŠ
ð€ãã¹ãã©ã³ããã£ãã
Post-lunch dip. ã¢ãã¿ããŒã³dip
- éå§ïŒèµ·åºåŸ6-8æéåŸïŒæå»ã§ãããš13-15æé ïŒ
- ç¶ç¶æéïŒ1-3æé
- 誰ã«ã§ã蚪ããèªç¶ãªç æ°ãéäžåã®äœäžçŸè±¡ã®ããš
- å®éã®é£äºãšã¯ç¡é¢ä¿
- ç¡ç äžè¶³ãçæŽ»ãªãºã ã®ä¹±ããéãªããšãã匷ãæãããã
- 30å以å ã®çãä»®ç ïŒãã¯ãŒãããïŒããäœãåããããšãã«ãã§ã€ã³ãªã©ã§å¯Ÿç. ð€ãã¯ãŒããã
ð倿¹ããŒã¯/Evening Peak
倿¹ã®ããŒã¯ïŒEvening PeakïŒ. (Forbidden Zone). second peak
- éå§ïŒèµ·åºåŸ9-12æéåŸïŒ15-18æé ïŒ
- ç¶ç¶æéïŒ2-4æé
- ðå®è¡æ©èœã®ããŒã¯. ããããäœæ¥.
- äœæž©ãããŒã¯ã«éããæé垯ãšéãªã
- 倿¹åãã«èŠé床ã®ããŒã¯ãèµ·ãã
- æŒå¯ã§ç ãã«ã€ãããšãæãå°é£ãªæé.
best practice
- ååŸé ãã«ãå ãæµŽã³ã
ðDLMO
DLMOïŒDim Light Melatonin OnsetïŒ. ã¡ã©ããã³ãŠã£ã³ããŠ(rise app).
- èæãå ã®äžã§ã®ã¡ã©ããã³åæ³éå§.
- å°±å¯2-3æéå.
äºçžæ§èŠéãã¿ãŒã³(Biphasic rhythm of alertness)
äºçžæ§ã®ãµãŒã«ãã£ã¢ã³ãªãºã . ååäžãšå€æ¹ã«ããŒã¯ãçŸãã.
ææš
- ð¡äœæž©
- æ·±éšäœæž©ã¯1æ¥ã§çŽ0.5-1âå€å
- æ©æãæäœã§å€æ¹17-19æé ãæé«ã«ãªããŸãããã®äœæž©æ²ç·ã¯èªç¥ããã©ãŒãã³ã¹ãšåŒ·ãçžé¢
- ð«å¿æå€å(HRV)
- 亀æç¥çµ/å¯äº€æç¥çµ
- ð«å¿ææ°(HR)
- https://pubmed.ncbi.nlm.nih.gov/39807770/, ããã¯Fitbitã®24æéããŒã¿ãã€ãã£ãŠã.