• Title/Summary/Keyword: 고막

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Proximal Symphalangism and Congenital Stapes Fixation (기부지절유합증을 동반한 선천성등골고정증)

  • 이철희;박영원;김종선;노관택
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1981.05a
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    • pp.41.1-41
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    • 1981
  • The combination of congenital stapes fixation and proximal symphalangism has been described in several kindreds. It exhibits autosomal dominant inheritance. A patient, 11-year-old female, visited department of otolaryngology of SNUH in December, 1980. Her complaint was bilateral hearing loss since birth. Physical examination revealed fusion of proximal interphalangeal joints of both 4th and 5th fingers. Tympanic membrane was normal. Temporal bone X-ray was normal. Pure tone audiogram revealed about 60 dB conductive loss with horizontal curve. On exploratory tympanotomy of right side, bony fixation of stapedial footplate was found. So, stapedectomy with connective tissue wire prosthesis was performed. As a result, marked improvement of hearing was obtained with 5 dB A-B gap on operated side.

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Physiological Changes According to Workload Wearing Aluminized Firefighter's Protective Clothing (소방방열복 착용시 작업강도에 따른 신체변화)

  • Bang, Chang-Hoon;Lee, Jun-Kyoung;Kwan, Jung-Suk
    • Fire Science and Engineering
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    • v.27 no.4
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    • pp.56-60
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    • 2013
  • The aim of study intends to investigate physiological changes according to workload wearing aluminized firefighter's protective clothing and to provide the base data for the safety of firefighter. The results of the study are as follows. To increase work intensity 4 to 8 METs after experiment (20 min), mean skin temperature change (33.3 %), tympanic temperature change (57.1 %) heart rate (32.5 %), RPE (75.6 %) is statistically significantly higher and thermal Sensation, weight loss are not statistically significant. It was concluded that physiological changes of human body varied considerably by increase of workload wearing aluminized firefighter's protective clothing.

Physiological and Psychological Thermal Responses to Local Heating of the Human Body in a Cold Environment (한랭환경하에서 인체의 국소가온 자극이 온열생리.감각반응에 미치는 영향)

  • Shin, Jounghwa
    • Journal of the Korean Society of Clothing and Textiles
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    • v.25 no.10
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    • pp.1745-1753
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    • 2001
  • 본 연구는 한랭 환경 하에서의 인체의 국소 가온 자극이 생리, 감각반응에 끼치는 영향을 검토했다. 건강한 성인여자 7명을 대상으로, 기온 $25^{\circ}C$, 습도50%의 환경 하에서 균일한 국소 가온을 부하 했을 때 피부온, 고막온, 손가락, 발가락 혈류량, 온냉감, 쾌적감의 반응에 미치는 영향을 검토한 결과는 다음과 같다. 1) 국소가온에 의해 가온 부위 피부온은 유의하게 상승하고 가온 부위에 따라 상승도에는 유의한 차가 보였다. 2) 국소가온에 의해 고막온은 머리의 가온 시에 높은 상승, 전완의 가온 시에 상승하고, 다른 가온 부위에서는 하강의 경향이 보였다. 3) 국소가온에 의해 혈류량의 변화는 3개의 군으로 분류된다. 가온과 함께 손가락 혈류량이 증가하는 군, 발가락 혈류량이 변화하는 군, 양쪽의 혈류량이 적게 변화하는 군으로 나누어진다. 이것을 각 피험자의 평균 피부온 수준 즉 체온조절 수준과 관계 있는 것으로 논할 수 있다 4)국소 가온에 의해 각 부 위 피부온으로의 파급효과는 머리, 상완의 가온 시에 크지만 대퇴, 하퇴 다리의 가온 시에는 대부분의 부위에서 영향이 보이지는 않았다. 5) 이와 같이 국소 가온에 의 한 생리, 감각반응은 가온 부위에 따라 다르고 머리, 상완의 가온 시에는 생리반응이 크고 하퇴, 다리의 가온시에는 국소의 감각변화가 컸다.

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The Clinical Study on the Relationship between State of the Tympanic Membrane and Treatment Period in the Acute Otitis Media by Video Otoscope (video otoscope로 관찰한 급성 중이염 소아 환자의 고막상태와 치료기간과의 연관성에 대한 연구)

  • Yu, Hyun-Jung;Choi, In-Hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.18 no.3
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    • pp.95-101
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    • 2005
  • Objective: In children with acute otitis media, we investigated the relationship between state of tympanic membrane and treatment period by video otoscope. Methods: Ten children(6 boys, 4 girls) with acute otitis media were assigned to one of three groups. In the grade I, there were redness in the tympanic membrane. In the grade II, there were bulging, effusion with exudate, dark color in the tympanic membrane. In the grade III, there were effusion with purulent exudate or cholesteatoma with serous exudate. And we investigated the treatment period in each group. Results: Overall, the $mean{\pm}S.D.$ on the treatment period in the grade I was shorter than grade II. It was $12.6{\pm}5.18$ in the grade I versus $26{\pm}2.83$ in the grade II. That in the grade II was shorter than grade III. It was $26{\pm}2.83$ in the grade II versus $148{\pm}43.03$ in the grade III. Conclusions: Although we couldn't have enough cases in each group. we could predict the conclusion that there was the relationship between treatment period and state of tympanic membrane.

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A Case of Chronic Suppurative Otitis Media with Perforated Eardrum Treated with Bojungikgi-tang (보중익기탕(補中益氣湯)으로 호전된 고막천공을 동반한 만성 화농성 중이염 치험 1례)

  • Minhee Kim;Soohyung Jeon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.36 no.2
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    • pp.76-82
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    • 2023
  • Objectives : This study is to report the treatment of chronic suppurative otitis media with Bojungikgi-tang and acupuncture without western medicine. Methods : A 57-year-old female patient visited my korean medical clinic on November 19, 2019 with complaints of ear fullness and yellowish effusion in the left ear. The patient had perforated eardrum with yellowish effusion. For the first month she took Bojungikgi-tang 3 times a day and received acupuncture 5-6 days a week without western treatment. The next month, only acupuncture treatment was performed twice a week. The condition of the eardrum and otorrhea was observed through an otoscope, and the degree of ear fullness and head heaviness were evaluated by visual analogue scale. Results : During the treatment, the eardrum was reperforated once, but it was regenerated, the otorrhea disappeared, and all other symptoms improved. Afterwards, it was confirmed through follow-up that the eardrum was maintained in a regenerated state. Conclusions : These results show that the combined treatment of herbal medicine and acupuncture is effective for chronic suppurative otitis media.

Implementation of Multichannel Digital Hearing Aid Algorithm Development Platform using Simulink (Simulink 기반 다채널 디지털 보청기 알고리즘 개발 플랫폼 구현)

  • Byun, Jun;Min, Ji-hwan;Cha, Tae-hwan;Ji, You-na;Park, Young-cheol
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.9 no.2
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    • pp.205-212
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    • 2016
  • In this paper, we implement the development platform of multichannel digital hearing aid algorithm using Simulink provided by Matlab. The digital hearing aids are considered medical devices designed to compensate for hearing loss, they need to be correctly selected, to help a person who has difficulty in hearing. The development platform that implemented in this paper, includes WOLA filterbank for analysis/synthesis of input signal, Wide dynamic range compression for hearing loss compensation and adaptive filter for feedback cancellation. Using the development platform, algorithm parameters for each block can be set depending on the hearing aid user. Thus it is possible to test the algorithm before the machine language. As a result, the time for algorithm development can be saved and performance and computational complexity can be optimized.

Morphological Comparison of Four Brown Frogs (Amphibia; Ranidae) (산개구리류 4종(양서강, 개구리과)의 형태적 비교)

  • Song Jae-Young;Chang Min-Ho;Chung Kyu-Hoi
    • Korean Journal of Environmental Biology
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    • v.23 no.2 s.58
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    • pp.157-162
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    • 2005
  • To clarify the key characteristics of Korean brown frogs (R. dybowskii, R. huanrenesis and R. amurensis coreana), this study employed a morphological and morphometrical comparisons among brown frogs found in Korea and Japanese endemic species, R. tsushimensis. As a result, it was considered that the key characteristics were the shape of the finger and toe tips, the markings of the lower jaw, the presence or absence of an upper lip line, the development of toe webbing, and the shape of the vomerine teeth series by morphological comparisons of brown frogs. Also, there were significant differences in tympanum diameters and foot lengths of the four species of brown frogs. Therefore, a comparison between morphological and morphometric characters is an effective way to clarify the identification of brown frogs.

Ultrasonographic Assessment of the Tympanic Membrane and Tympanic Bulla in Normal Dogs: A Preliminary Study (개에서 고막과 고실의 초음파학적 평가)

  • 이해운;엄기동;성윤상;이종원;김정은;오태호;정규식;장광호;장동우
    • Journal of Veterinary Clinics
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    • v.21 no.2
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    • pp.97-101
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    • 2004
  • This study was aimed for ultrasonographic assessment of the tympanic membrane and the tympanic bulla in five healthy Beagle dogs. To improve an ultrasonographic image, the ear canal was filled with warm saline, and an 11 MHz linear probe and a 6.5 MHz convex probe were used. The structures of ear component such as ear canal, ear cartilage and tympanic membrane were easily identified. Especially, tympanic membrane was presented as a reflaction surface which was resulted from the different acoustic impedence between the fluid-filled anechoic ear canal and the gas-filled hyperechoic tympanic cavity in normal dogs. In five left-side ears, the saline was infused into the external ear canal after the tympanic membrane had been ruptured experimentally. Both anechoic fluid-filled ear canal and tympanic cavity were clearly identified. In five right-side ears, the surgically fluid-filled tympanic cavity was imaged as a hypoechoic oval shaped structure. When tympanic cavity and ear canal have been contained with fluid, it was difficult to identify whether the tympanic membrane was ruptured or not. For assessment of the ear structure with ultrasonography, the 11 MHz linear probe was considered as an optimal equipment for a serial assessment of ear canal, tympanic membrane and tympanic bulla whereas the 6.5 MHz convex probe was suitable to assess the tympanic cavity. The results suggest that ultrasonography with saline infusion into the ear canal can be used to find the intactness of the tympanic membrane and to assess the fluid- filld tympanic bulla.

A case of Korean Medical Treatment of sudden hearing loss with tinnitus, aural fullness (이명과 이충만감을 동반한 돌발성 난청 치험 1례)

  • Kim, Kyung-Han;Jung, Hyun-A
    • Journal of Haehwa Medicine
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    • v.22 no.1
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    • pp.193-200
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    • 2013
  • This study describes a case of sudden sensorineural hearing loss(SSNHL) accompanied with adjunctive symptoms including tinnitus and aural fullness. In this case, we evaluated the effect of Korean medicine treatment for SSNHL accompanied with adjunctive symptoms including tinnitus and aural fullness. We treated 1 SSNHL patient who had adjunctive symptoms of tinnitus and aural fullness. After Korean medical treatment for 9 days, two approaches were used in order to evaluate the effect of the treatment. The hearing recovery was measured with pure tone audiometry, and the decrease of tinnitus and aural fullness was identified by patient's subjective expression. After Korean medical treatments, clinical symptoms of SSNHL accompanied with adjunctive symptoms including tinnitus and aural fullness were considered improved. This study shows that the Korean medical treatment effects on the SSNHL accompanied with adjunctive symptoms including tinnitus and aural fullness.

Comparison of Ultrasonography and Video-otoscopy for the Evaluation of the Tympanic Membrane in Otitis Dogs (외이염 발생견에서 고막평가를 위한 초음파 및 이경 검사법 비교)

  • Lee Jong-won;Eom Ki-dong;Seong Yun-sang;Lee Hae-oon;Moon Kum-jung;Bae Sun-hee;Byun Tae-Kyung;Song Gyoung-ho;Jeon Jong-hoon;Jang Kwang-ho;Oh Tae-ho;Lee Keun-woo
    • Journal of Veterinary Clinics
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    • v.22 no.4
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    • pp.382-385
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    • 2005
  • The aim of this study was to compare ultrasonography with video-otoscopy for the evalution of the external ear canal and the tympanum. Fifty dogs with clinical signs ot the bilateral ear diseases were examined using otoscopy under general anesthesia. Ultrasonographic examination was performed with an 11 MHz linear-arrary probe and a 6.5MHz convex probe, with the external ear canal filled with saline. Saline functioned as a contrast media and enhanced image quality of ultrasonography. The images of 100 ears before and after the ear cleansing were obtained at otoscopy and ultrasonography. On the video-otoscopic images, the tympanic membrane was identified in 59 ears before the ear cleansing and 91 ears after cleansing. On the ultrasonography, the tympanic membrane was detected in 98 ears before the ear cleansing and in all ears after cleansing. With these results, it was concluded that ultrasonography with infusing saline into the ear canal, could be a useful diagnostic procedure to identify the tympanic membrane in otitis dogs.