• 제목/요약/키워드: 고막

검색결과 133건 처리시간 0.022초

완전 이식형 인공중이용 마이크로폰의 위치 결정을 위한 물리적 귀 모델의 구현 (Implementation a Physical Ear Model for Determinating Location of the Microphone of Fully Implantable Middle Ear Hearing Device)

  • 김동욱;성기웅;임형규;김민우;정의성;이장우;이명원;이정현;김명남;조진호
    • 재활복지공학회논문지
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    • 제2권1호
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    • pp.27-33
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    • 2009
  • 일반적으로, 완전 이식형 인공중이의 이식형 마이크로폰은 측두골 부근에 이식되어진다. 이 경우, 마이크로폰의 진동막이 외부 충격이나 생체 노이즈의 영향 받을 수 있으며 이런 문제를 해결하기 위하여 이식용 마이크로폰을 외이도 내에 이식하는 방법을 고려할 수 있다. 그러나 이소골에 이식된 진동 트랜스듀서에 의해서 고막으로부터 외이도 방향으로 음향 반향이 발생할 가능성이 있다. 본 논문에서는 사람의 귀와 유사한 특성을 가지는 귀 모델을 제작하여 프로브 마이크로폰의 위치를 변경해가며 외이도의 음향 반향을 측정하였고 실험결과를 통하여 외이도 내에서의 마이크로폰의 이식 위치를 추정해 보았다. 분석 결과 외이도에 마이크로폰을 이식할 경우 고막에서 멀어질수록 반향 신호가 감소함을 확인할 수는 있었으나, 반향 신호를 완전히 제거할 수 없기 때문에 외이도에 마이크로폰을 이식하기에는 부적합한 것으로 예상된다.

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체온측정시간 및 고막체온계의 정확도와 신뢰도에 관한 연구 (Study on the Body Temperature Measuring Time and Accuracy and Reliability of Tympanic Thermometer)

  • 정인숙;유은정
    • 기본간호학회지
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    • 제4권1호
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    • pp.19-30
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    • 1997
  • This study was to investigate the method for shortening the body temperature (BT) because it takes a long time and is impractical to measure axillary or oral BT with mercury thermometer, The first approach was to identify BT change according to the measuring time and determine the clinically not statistically avaiable and optimal BT measuring time. The second was to test the accuracy of tympanic thermometer. It can measure BT within a few seconds, so if it is approved accurate, we can save BT measuring time by substitute tympanic thermometer for mercury thermometer. This study was conducted from 1, to 30 June, 1996. The subjects were 12men students of medicalk college and 29 women students of nursing school. The results were as follows ; 1) The 3, 5, 7, 9, 11, 13minute-measured axillary BT and 3, 5, 7, minute-measured BT showed somewhat linear relationship with time. It was difficult to find the optimum measuring time which were clinically significant. 2) For axillary tempeiature, the measuring time which were not statistically different was 11 and 13minute. But the real BT difference between 3 and 13minute, or between 5 and 13minute were very small and was within the range of daily variation. 3) For oral temperature, there was no intervals which showed the statistically insignificant. But like as axillary temperature, the difference between 3 and 7, or 5 and 7 minute were trivial by $0.3^{\circ}C$ and by $0.1^{\circ}C$ respectively. 4) Tympanic temperatures were lower than oral BTs which were measured with mercury thermometer by $0.26^{\circ}C$ (with ear tug) and $0.15^{\circ}C$(without ear tug). 5) The reliability of repeated measure tympanic temperature was better than without ear tug. With above results, we can't determine the optimal and cilically significant oral and axillary measuring time using mercury thermometer. However, because the real differences between measuring times were very small, so we recommend further study for the aged, the infants and the febrile patients. And we can't sure the accuracy of tympanic temperature but the reliability was better with ear tug than without ear tug.

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측정부위별 신생아의 체온 비교 : 고막기준 직장체온, 직장체온, 액와체온, 복부체온 (Comparison by Measurement Sites in Temperature of Neonates : Ear-based rectal, Rectal, Axilla, Abdominal Temperature)

  • 김화순;안영미
    • 대한간호학회지
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    • 제29권4호
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    • pp.903-916
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    • 1999
  • The purpose of this study was to compare the ear-based rectal temperature measured with a tympanic thermometer with the rectal temperature measured with a glass mercury thermometer in order to test the accuracy of tympanic thermometer and to determine relationship among rectal, axilla, and abdominal temperature in neonates. The samples consisted of thirty four neonates admitted to the neonatal intensive care unit and nursery at an university affiliated hospital. The mean age of the subjects was 4.9 days. The ear-based rectal temperatures were taken with a tympanic thermometer in rectal mode (First Temp Genius 3000). Rectal and axilla temperatures were taken with a glass mercury thermometer, Abdominal temperature was continuously monitored with the probe connected to the servo controller of incubator. The results of the study can be summarized as follows : 1. Intrarater comparison : Agreement between the first and the second ear-based rectal temperature was 97% within 0.1$^{\circ}C$. 2. Comparison of ear-based rectal temperature and the rectal temperature from a glass mercury thermometer : ear-based rectal temperature ranged from 36.95$^{\circ}C$d to 37.95$^{\circ}C$, with a mean of 37.58$^{\circ}C$(SD=0.22$^{\circ}C$). Rectal temperature from a glass mercury thermometer ranged from 36.2$0^{\circ}C$ to 37.2$0^{\circ}C$, with a mean 36.75$^{\circ}C$(SD=0.29). The mean difference between both temperatures was 0.84$^{\circ}C$. The correlation coefficient between both temperatures was r=0.77(p=0.00). 3. Comparison of rectal and axilla temperature : Axilla temperature ranged from 35.8$0^{\circ}C$ to 37.1$0^{\circ}C$, with a mean of 36.55$^{\circ}C$. The mean absolute difference between the rectal and axilla temperature was 0.23$^{\circ}C$. The correlation coefficient between rectal and axilla was r=0.67. 4. Comparison of axilla and abdominal temperature : Abdominal temperature ranged from 36.2$0^{\circ}C$ to 37.0$0^{\circ}C$, with a mean of 36.58$^{\circ}C$. The mean absolute difference between axilla and abdominal temperature was only -0.03$^{\circ}C$. Findings of this study suggest that ear-based rectal temperature overestimates the actual rectal temperatures in neonates. Therefore, the interchangeble use of both temperatures in clinics seems problematic. The site offset(adjustment value) programmed in rectal mode of the tympanic thermometer needs to be readjusted. Choosing one optimal site for temperature measurement for each patient, and using the specific site consistently would result in more consistent measurements of changes in body temperature, and thus can be more effective in diagnosing fever or hypothermia.

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만성 중이염의 수술시 소견에 대한 임상통계적 관찰 (CLINICOSTATISTICAL ANALYSIS OF SURGICAL FINDINGS IN CHRONIC OTITIS MEDIA)

  • 최덕주;전병훈;민원식;함태영
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1987년도 제21차 학술대회 연제순서 및 초록
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    • pp.6-6
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    • 1987
  • 만성중이염은 현재 그 빈도가 줄어드는 추세에 있으나 아직도 이과 영역에서 큰 비중을 차지하는 질환이다. 또한 청력개선, 정상구조의 보존, 병변 제거의 목적을 위하여 대부분 수술적 요법이 필요하게 된다. 이에 저자들은 본 병원에서 시행한 만성 중이염 451예, 남자 238예, 여자 213예. 진주종성 중이염 170예, 비진주종성 중이염 273예에 대한 수술시 소견에 대한 임상 통계적 관찰을 한 바, 다음과 같은 결과를 얻었다. 1) 관찰대상을 술식별로 분류하면 진주종성 중이염과 비진주종성 중이염의 비가 $\circled1$ Myningoplasty ; 19.1% : 0%, $\circled2$ Tympanoplasty without mastoidectomy ; 34.5% : 14.4%, $\circled3$ Tympanoplasty with mastoidectomy ; 3.0% :12.1% 이었다. 2) 고막천공부위는, 진주종성 중이염과 비진주종성 중이염의 비가 변연부천공이 10.1% : 5.5%, 상고실천공이 38.8% : 1.4%, 중심부천증이 12.9% : 47.3%, 전천공이 32.5% : 39.6%, 고막유착이 5.6% : 6.2% 을 보였다. 3) 이소골의 상태는 진주종성중이염과 비진주종성 중이염의 비가, 모든 이소골의 손실은 26.6% : 4.3%, 모든 이소골이 정상에 가까운 예는 16.6% : 69.3%, 가장 병변이 심했던 침골 이상은 76.9% : 24.8% 를 보였다. 4) 중이강 점막소견은 진주종성 중이염과 비진주종성 중이염의 비가, 정상에 가까운 예가 16.7% : 47.0%, 병적 소견을 보인 예가 83.3% : 53.0% 이었다. 5) 진주종성 중이염과, 비진주종성 중이염에서의 안면신경관노출은 2.2% : 0.3%, 뇌막노출은 9.5% : 2.9%, 횡정맥동노출은 5.0% : 1.1%, 미로누공은 1.7% : 0% 이었다.lant, engineering service business can be said "The Software of Total Industry." Engineering service is what is called a higher business which offers specialized engineering know-how and experience. Engineering service compaines offer Its specialized knowledge and experience to government, industry and commerce. Whether the task is to modernize plant equipment, to design a building or to manage construction, an engineering company will develop and implement the most appropriate and cost effective solution. Clients use the engineering service of firm knowing that the engineer′s professional judgement is not influenced or biased by other commercial affiliations. While benefiting from the diverse experience that professional engineers can apply to a specific problem, government and industry also reduce the need for permanent in-house engineering staff. Engineering firms may be specialized or multi-disciplinary.도말표본에서와 같이 제 14 일 이전에는 호중구가, 그 이후에는 단핵구가 주종을 이루었다.>18.9dB

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완전 이식형 보청기를 위한 진동 기반의 가속도 센서 제안 (Proposition of a Vibration Based Acceleration Sensor for the Fully Implantable Hearing Aid)

  • 신동호;문하준;성기웅;조진호
    • 재활복지공학회논문지
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    • 제11권2호
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    • pp.133-141
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    • 2017
  • 하이브리드 음향센서 (hybrid acoustic sensor)는 음압 기반의 음향센서 (ECM)와 진동 기반의 가속도 센서(acceleration sensor)가 접목된 구조이다. 이는 음향센서의 저주파 대역 감도와 가속도 센서의 고주파 대역 감도를 결합하여 저주파에서 고주파 대역까지 광범위하게 음향을 포집할 수 있다. 본 논문에서는 하이브리드 음향센서에 사용되는 가속도 센서를 제안하였다. 가속도 센서는 음향신호에 의해 발생되는 고막의 진동을 포집한다. 제안된 가속도 센서의 사이즈는 고막의 해부학적 구조와 음향센서인 ECM의 규격을 고려하여 직경 3.2 mm로 결정하였다. 그리고 하이브리드 음향센서가 고감도 광대역 특성을 가지도록 하기 위해서는 가속도 센서의 공진 주파수는 3.5 kHz 부근에서 생성되는 것을 목표로 하였다. 가속도 센서를 구성하는 진동막은 수학적 모델과 유한요소 해석을 통하여 기하학적 구조를 도출하였다. 이를 바탕으로 화학적 식각공정을 이용하여 진동막을 제작하였다. 그리고 제작된 진동막의 주파수 특성을 확인하기 위하여 외력에 의한 진동 측정 실험을 수행하였고, 실험 결과 진동막의 기계적 공진은 3.4 kHz에서 발생되었다. 그러므로 제안한 가속도 센서는 하이브리드 음향센서에 유용하게 활용될 수 있을 것으로 판단된다.

수술전과 수술중 피부가온요법 적응이 고관절 전치환술 환자의 수술 주기 고막체온 변화에 미치는 영향 (The Effect of Pre and Intra-Operative Warming Therapy on Tympanic Temperature Changes during Perioperative Phase in Receiving Patients with Total Hip Replacement)

  • 권영숙;김은희
    • 기본간호학회지
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    • 제7권1호
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    • pp.86-96
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    • 2000
  • The purpose of the study was to investigate the effects of Warming Therapy used with patients consistantly before and during surgery to on changes in their body temperatures. The data were collected from patients in a university hospital in Taegu between December 1, 1998 and May 31, 1999. The subjects were selected from patients who were hospitalized for total hip replacement surgery. Thirty participants were assigned to two groups : experimental(Warming Therapy) group and control group. Each group consisted of 15 patients. The research design was a repeated measurement design, using a nonequivalent control group. The Warming Therapy, using a forced-air warming blanket, that is a, 'Bair Hugger' was applied to subjects in the experimental group. The subjects in the group were treated with the 'Bair Hugger' to warm up the whole body for 40 minutes before surgery and upper body and face during the operation. The core temperature was measured using a tympanic thermometer. The body temperature of the patients was measured 13 times every 15 minutes during the surgery. After the operation the body temperature of the patients was measured 4 times every 15 minutes, from the time of arrivial in the recovery room to the time of leaving the recovery room. The SPSS Win 9.0 program was used for data analysis. Specific methods tested were done using ${\chi}^2-test$, t-test, repeated measures ANOVA. The findings of the study are as follows. 1. The first hypothesis, 'The level of tympanic temperature for the experimental group which received Warming Therapy will be higher than that of the control group during the operation', was supported (F=32.16, p=.000). 2. The second hypothesis, 'The level of tympanic temperature for the experimental group which received Warming Therapy will be higher than that of the control group after the operation', was supported.(F=33.36, p=.000) 3. During recovery, shivering was observed one patient in the experimental group and seven patients in the control group. In summary, the findings of the study suggest that the 'Warming Therapy' applied before and during the surgery was a very effective treatment for surgical patients in maintaining the core temperature during surgery

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고막이식형 마이크로폰을 위한 이식형 인공중이 적응 피드백 제거기 구현 (An Adaptive Feedback Canceller for Fully Implantable Hearing Device Using Tympanic Membrane Installed Microphone)

  • 김태윤;김명남;조진호
    • 한국멀티미디어학회논문지
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    • 제19권2호
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    • pp.189-199
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    • 2016
  • Many implantable hearing aids are being developed as alternatives to conventional hearing aids which has inconveniences for use and social stigma that make hearing-impaired people avoid to wear it. Particularly, the fully-implantable middle ear hearing devices (F-IMEHD) are being actively studied for mixed or sensorineural hearing impaired people. In development of F-IMEHD, the most difficult problem is improving the performance of implantable microphone. Recently, Cho et al. have studied the tympanic membrane installed microphone which has better sensitivity and is easier to operate on patient than the microphone implanted under the skin. But, it may cause howling problem due to the feedback signal via oval window and ossicle chain from the transducer on round window in the middle ear cavity, therefore, a feedback canceller is necessary. In this paper, we designed NLMS (normalized least mean square) adaptive feedback canceller for F-IMEHD with tympanic membrane installed microphone and a transducer implemented at round window, and computer simulation was performed to verify its operation. The designed adaptive feedback canceller has a delay filter, a 64 point FIR fixed filter and a 8-tap adaptive FIR filter. Computer simulation of the feedback path is modeled by using the data obtained through human cadaver experiment.

신생아의 서혜, 직장, 액와, 고막 체온 측정 비교 (Comparison of Inguinal, Rectal, Axillary,and Tympanic Temperature in Newborns)

  • 구현영;손정태
    • Child Health Nursing Research
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    • 제11권2호
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    • pp.203-210
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    • 2005
  • Purpose: In order to identify the usability of inguinal temperature in a neonatal unit, this study was done to compare inguinal temperature of newborns with rectal, axillary, and tympanic temperatures. Method: Fifty-one normal newborns admitted to the nursery of a university affiliated hospital participated in the study. Tympanic temperatures were taken with a tympanic thermometer. Inguinal, rectal, and axillary temperatures were taken with glass mercury thermometers, and were recorded every 1 minute until the reading remained constant for 2 times. The data were analyzed using the SPSS program. Result: The measurement time for inguinal temperatures in newborns was significantly longer than that for rectal temperatures, but was shorter than that for axillary temperatures. The mean temperature for the newborn's inguinal site was lower than for rectal, axillary, and tympanic temperatures (the lower side), but wasn't different from tympanic temperature (the upper side). The inguinal temperature was significantly correlated with rectal, axillary, and tympanic temperature. The inguinal temperature was not different according to general characteristics of the newborn. Conclusion: These findings indicate that measurement of inguinal temperature is a useful alternative to rectal temperature.

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멀티미디어 콘텐츠를 위한 다이얼로그 명료도 향상 알고리즘 (Dialog Enhancement Algorithm for Multimedia Contents)

  • 지유나;박영철
    • 한국방송∙미디어공학회:학술대회논문집
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    • 한국방송∙미디어공학회 2016년도 하계학술대회
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    • pp.86-89
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    • 2016
  • 본 논문에서는 멀티미디어 콘텐츠의 명료도를 향상시켜 사용자가 주변 환경과 관계없이 안정적인 볼륨에서 오디오 청취를 할 수 있는 다이얼로그 명료도 향상 알고리즘을 제안한다. 최근 모바일 기기들의 발달로 다양한 환경에서 영화, TV 또는 동영상 등의 멀티미디어 콘텐츠를 즐기는 일이 늘어나고 있다. 이러한 경우 시청자는 주변 환경에 따라 영상의 오디오 볼륨을 조절하게 되는데 주변 소음에 비하여 과하게 증폭된 볼륨은 주변에 피해를 끼치거나 고막에 손상을 일으킬 수 있으며 반대로 주변에 비해 너무 작은 오디오 볼륨은 시청을 어렵게 한다는 단점이 있다. 본 논문에서는 수신단에서 멀티미디어 콘텐츠의 오디오 신호로부터 다이얼로그 성분을 검출하여 음성 명료도 향상 알고리즘을 적용시켜 동일한 볼륨에서도 음성의 명료도를 높이는 알고리즘을 제안한다. 본 알고리즘은 다이얼로그를 검출하여 단순히 증폭 시키는 기존 기술들과 달리 전체 에너지는 유지하면서 명료도에 중요한 영향을 미치는 주파수 대역에 에너지를 집중시키는 에너지 재분배 방식을 이용해 동일한 볼륨에서도 더 높은 음성 명료도를 기대할 수 있다. 컴퓨터 시뮬레이션을 통해 본 논문에서 제안한 알고리즘이 명료도에 중요한 영향을 미치는 주파수대역을 적절히 증폭시킴을 확인할 수 있었다.

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LPG자동차충전소에서 증기운폭발로 인한 인명피해예측에 관한 연구 (A Study on the Estimation of Human Damage Caused by Vapor Cloud Explosion(VCE) in LPG Filling Station)

  • 임사환;허용정
    • 한국가스학회지
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    • 제14권2호
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    • pp.15-21
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    • 2010
  • 환경친화적인 에너지원으로서 가스의 수요가 날로 급증하고 있다. 이와 함께 LPG 자동차 충전소가 점진적으로 늘어나고 있다. 본 연구에서는 LPG 충전소에서 발생하는 증기운폭발 과압의 피해를 Hopkinson의 삼승근법을 이용하여 계산하고, 인체에 미치는 영향을 프로빗 모델에 적용하여 피해예측을 평가하였다. 현재 국내에서 가장 많이 운용하는 20ton 저장탱크를 대상으로 누출량 10%를 프로빗 모델에 적용하여 계산하면 LPG 충전소에서의 이격 거리는 각각 인체에 손상가능거리는 36.5m, 고막파열 손상가능거리는 290m이다.