• 월간산업보건
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• s.387
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• pp.10-20
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• 2020

근로복지공단 산재보상국에서는 올해 3월부터 새로운 소음성난청 업무상질병 인정기준을 마련하여 적용하고 있다. 여기서는 산재보상국에서 소음성난청 업무처리기준을 개정하게 된 주요배경을 소개하고, 산업보건 관계자들이 알아두었으면 하는 신규 기준의 주요사항들을 살펴보기로 한다.

• The Journal of the Acoustical Society of Korea
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• v.30 no.4
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• pp.207-214
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• 2011

Human auditory acuity decreases naturally due to aging. But recently cases of impaired hearing at a young age are increasing greatly. The biggest reason for such an increase of population with impaired hearing is popularization of various kinds of portable multimedia appliances. Many studies on impaired hearing due to noises caused by the earphone and headphone are being made, but there are few studies on noise-impaired hearing caused directly by mobile phone communication. Based on a precedent inquiry, this study proposes a technique for preventing noise-impaired hearing applying to an active noise reduction technique onto bone conduction speaker. This technique is a method for reducing noises by antiphase oscillation through bone conduction speaker with ambient noises. If the proposed system is applied, the noise level that is actually introduced to audition decreases by more than 12 dB, and such a decreased amount of sound volume fundamentally prevents the factors of noise-caused hearing difficulty due to mobile phone communication. Sensibility test results showed that adequate communication was possible even in such a situation where communication volume was decreased like this.

• Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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• 1994.10a
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• pp.7-17
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• 1994

소음이 청기에 미치는 영향에 대해서는 서기 1세기 경부터 그 기록을 더듬을 수 있다. 1713년 Ramazini는 구리 세공자에게 소음을 방지하기 위한 귀 보호기 사용을 권하였으며, 이후 18세기 중엽 산업 혁명을 거쳐 1,2차 세계대전과 함께 20세기의 폭발적인 산업 발달에 맞추어 소음은 문명의 필연적 산물이 되면서 이에 대한 관심이 높아졌다. 우리나라도 경제 발전과 동시에 공장 소음, 자동차 소음등이 날로 심각해지면서 이에 대한 연구가 활발해지고 있으나, 국내외 모두 소음성난청의 치료 면에서는 뚜렷한 방법을 제시하지 못하고 있는 실정이다. 소음에 의한 난청은 일단 한번 발생하면 형태 및 기능이 불가역적이므로 예방만이 유일한 해결책이라고 하겠다.

• KOREAN ASSOCIATION OF OCCUPATIONAL HEALTH NURSES
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• v.19 no.4
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• pp.25-32
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• 2012

최근에는 산업장 근로자나 노인에게 주로 발생되던 청력손실이 청소년에까지 점차 확대되면서 청소년의 청력뿐 아니라 청소년의 청력에 영향을 미치는 여러 환경 및 요인에 대한 관심이 고조되고 있다. 그 중 외국어 공부나 음악감상용으로 청소년들 사이에 생활필수품처럼 널리 이용되고 있는 휴대용 카세트가 청소년의 소음성 난청원으로 매우 위험하다는 연구결과가 제시되어 학부모, 교사, 전문가에 의해 청소년 청력상태에 대한 조사와 청력손실을 유발하는 위험요인에 대해 많은 연구가 실시되었다. 청소년기에 취미/오락활동, 가정내 기계 기구, 음악, 교통 등의 소음에 상시적으로 노출될 수 있다. 직업적으로 소음에 노출된 적이 없는 청소년에게서 소음성 난청이 발생할 수 있다는 연구결과가 나오고 있는데, 청소년의 소음성 난청은 큰 소리를 내는 장난감과 개인용 음향기기, 콘서트장, 밴드활동 등의 음악과 관련이 있으며 이외에 모터사이클, 모터 스포츠 등의 레저 활동과 관련이 있다. 이러한 소음은 작업장 소음에 의한 초기 청력손실처럼 3~6 kHz 역의 청력손실을 특징적으로 보여준다. 이 글에서는 주요 취미활동과 관련하여 MP3 등 개인용 음향기기와 헤드셋 착용 근로자의 소음 노출 수준과 이에 따른 청력영향을 살펴보고, 소음저감방법에 대해 알아보고자 한다.

• The Journal of the Acoustical Society of Korea
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• v.29 no.3
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• pp.184-190
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• 2010

Lowering of auditory caused by noise is increased, these days. Especially, people who have noise induced hearing loss by permanent exposure to noise are increased according to spread out of multimedia and improvement of information equipment. The pure tone audiometry used in the hospital presently inspect auditory manually up to 8,000 Hz bandwidth. So the case of noise induced hearing loss which suffered from extended high frequency over 8,000 Hz, there is a problem to prevent hearing loss by precognition. In this paper, we proposed a method to prevent noise induced hearing loss by using extended high frequency bandwidth from 12,000 Hz to 20,000 Hz. We have got a experimental result to fifty of twenties who are often used to earphones through portable equipment. As a result, 36% of twenties show lowering of auditory caused by noise and 2% of them shows severe loss of hearing.

• Journal of Preventive Medicine and Public Health
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• v.32 no.1
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• pp.30-39
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• 1999

Objectives. This study was carried out to evaluate hearing impairment judgement and to investigate the differences in various diagnostic criteria for noise-induced hearing loss (NIHL) among workers who required for close observation (C). Methods. Out of 731,029 workers who had taken the specific periodic health examination in 1994, we used the audiometric data on 37,999 workers (C) eliminating the employees who had previous otologic problems. Many investigators have being using different criteria for the evaluation of hearing impairment. In this study, we used the criteria of early (1989-1994), current, compensation for NIHL in Korea, 2-, 3-, 4-divided classification and hearing loss at 4,000 Hz and compared the evaluation results. Results. The prevalences of C and workers who had occupational disease $(D_1)$ diagnosed for NIHL were 11.1 % and 0.44 %. There were significant difference in the prevalences of C and $D_1$, depending on different province of Korea. Pure tone averages (PTAs) were not appropriately applied in their evaluation 97% of workers whom we studied on were below the level of mild hearing loss judged by ISO standard. However, there were wide variations in the prevalence rate of mild hearing loss by diagnostic criteria. Thus, there were different judgements in determining the degree of NIHL depending on which diagnostic criteria were utilized. PTAs were found 20.54 (Rt) and 20.74 (Lt) when the method of 3-divided classification was applied for audiometric data. The degree of hearing impairment of the left ear was more severe than that of right ear. The prevalence of normal hearing threshold below 20 dB was 75.4% and the range of difference in both ear was below 10 dB. Right sided hearing threshold levels were 21.08 dB (500 Hz), 18.44 dB (1,000 Hz), 22.09 (2,000 Hz) and 52.36 dB (4,000 Hz). There was typical high frequency loss (C5-dip at 4,000 Hz) above 30 - 40 dB in normal hearing level. The increasing trend in hearing threshold level was gradually decreased by the increase of PTAs. The difference between PTAs and threshold at 4,000 Hz was about 10 dB. Conclusions. We could found that PTAs in the previous examination were not appropriately evaluated. This study revealed that they did not use unique criteria for managing the workers of NIHL. For the prevention of NIHL, it was found that the quality control on diagnosis and comprehensive management program were required, especially for those of hearing loss (C).

• The Journal of the Acoustical Society of Korea
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• v.34 no.4
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• pp.274-281
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• 2015

Although noise-induced hearing loss (NIHL) is a significant public health problem, many people might not be aware that exposure to loud noise could occur hearing loss. The purpose of this study is to evaluate and analyze how importantly and seriously people are aware of NIHL using a 22-question survey. It was administered to random 150 people including between 20 s to 60 s. The questionnaire contained questions about i) views toward general health issues including hearing loss and tinnitus, ii) noise exposure, and iii) views toward hearing protection. Results showed that hearing loss was defined on a likert scale as 'a very big problem' by 17.33 % of respondents compared with other health issues. Surprisingly, most respondents (82 %) had not heard, read, or seen anything lately related to the issue of hearing loss. Many respondents had experience hearing problem or tinnitus under loud noise situations (85 %), however, only 11.33 % of respondents had used earplugs. Fortunately, many could be motivated to try ear protection if they were advised by a medical professional (80 %) or were aware of the potential for permeant hearing loss (78.67 %). We concluded that awareness of the potential for permanent hearing loss with noise and effective methods of hearing protection should be announced to public for preventing NIHL.

• Journal of Preventive Medicine and Public Health
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• v.31 no.2 s.61
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• pp.249-264
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• 1998

Reports on a potential relationship between sensory neural hearing loss(SNHL) and cardiovascular or hematologic factor show that the results are controversial. A detailed analysis of risk factors in the development of SNHL was carried out in 3,050 non-noise exposed healthy worker. The mean hearing threshold of both ears at 500, 1000, 2000, 4000, 8000Hz was measured and the effect of age, possible cardiovascular risk factor and hematologic factor (blood viscosity and hemostatic factors) on SNHL were evaluated. first, each of these were associated with loss of hearing sensitivity when univariately and multivariatively analysed. In a multiple regression model, age, sex, body mass index, WBC and total cholesterol level were independently associated with the mean of hearing sensitivity decrease at 4000 and 8000Hz. Second, study subjects were divided into two group (normal vs SNHL) and we compare the possible risk between both groups, and analysed univariate and multivariative logistic model. In a multiple logistic regression model, age, sex, body mass index, WBC and total cholesterol level, total protein, platelet were independently associated with SNHL. Our results show that we have some reliable indices of susceptibility to SNHL using cardiovascular measures or biochemical factor, but future, more extensive studies are required.

• 월간산업보건
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• s.385
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• pp.38-39
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• 2020

영화 <힘을 내요, 미스터 리>에서 주인공 철수(차승원 분)는 한때 소방관이었다. 그러나 불의의 사고를 당해 정신지체를 갖게 되면서 소방관을 그만 두고 만다. 치명적인 위험 속으로 뛰어드는 소방관들이 가장 많이 앓는 질병으로 난청이 있다. 출동 시 사이렌이 울리는 등 심한 소음을 들을 수밖에 없기 때문이다.

• 월간산업보건
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• s.283
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• pp.10-23
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• 2011