• Proceedings of the KOR-BRONCHOESO Conference
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• 1987.05a
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• pp.11.2-11
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• 1987

1987년 2월 1일 부터 1987년 3월28일까지 본 병원 인공신장실에서 혈액투석요법을 받고 있는 만성 신부전증 환자 20례 (남자 15례, 여자 5례)를 대상으로 2회의 청력검사를 시행하여 다음과 같은 결과를 얻었다. 1) 만성 신부전증으로 혈액투석요법을 받고 있는 환자 20례 중 7례 (35%)에서 청력손실을 보였다. 2) 연령분포상 20대에서는 2명중 청력손실을 보인 예는 없었으며, 30대는 7명중 1명, 40대는 5명중 4명, 60대는 1명중 1명에서 청력손실을 보였으며 7례 전례가 남자였다. 3) 청력손실의 양상은 전례에서 양측성이며 고음장애형이었다. 4) 임피던스 청력검사상 tympanogram A형이 2귀 였으며 2례(4귀)에서는 acoustic reflex가 나타나지 않았다. 5) 청력손실을 보인 7례중 3례에서 75% 이상의 SISI score를 나타내었고 어음청력검사상 25㏈ 이상의 청력손실을 보인 예는 없었다. 6) 전해질농도와 난청의 정도, 혈액투석회수와 청력손실의 정도에는 유의한 연관이 없었다.

• Progress in Medical Physics
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• v.9 no.4
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• pp.217-225
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• 1998

In this paper, the analysis of the relation between noise induced hearing loss and noise exposure is described for the A-weighted noise levels and exposure duration. The hearing loss and sensitivity threshold shift is investigated by changing the various parameters such as the effects of aging and noise exposure. Total hearing loss is proportional to a function of exposure level based upon the integral of pressure with time. If the noise exposure term is large so that the presbycusis may be neglected, the hearing loss due to aging and noise exposure becomes the noise induced hearing loss. It is shown that exposure to excessive noise can cause temporary loss of hearing that may become permanent if the exposure is prolonged or intense. An audiogram taken from a person suffering from noise induced hearing loss will usually show the greatest loss of hearing sensitivity in the 4kHz region, which is typically the region most sensitive to damage resulting from many types of industrial noise.

• Proceedings of the Korea Contents Association Conference
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• 2019.05a
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• pp.235-236
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• 2019

이 연구는 청력손실 예방 공익광고 메시지가 프레이밍 유형(긍정/부정)과 자기효능감 정보제공(유/무)에 따라 수용자의 청력손실 예방의도에 미치는 영향을 검증한다. 개별 참여자들의 개인적 특성으로 지각된 위험과 미래지향 시간관을 메시지 효과에 영향을 미칠 수 있는 변인으로 설정했다. 이를 통해 청력손실 예방에 대한 이해와 관심을 증진시키기 위한 캠페인을 진행할 때 메시지 전략측면과 실행의 효과면에서 메시지 내용의 표현방법과 효율적 전달방법에 대한 함의를 제시한다.

• The Journal of the Korea Contents Association
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• v.19 no.9
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• pp.329-337
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• 2019

Prevention is very important in terms of the fact that the percentage of people in their 10s and 20s experience noise-prone hearing is so serious that it can lead to serious hearing later on. This study examines the effect of the hearing loss prevention public advertisement message on the hearing loss prevention intent of the acceptor according to the type of framing(positive/negative) and self-efficacy information provision (provide information/do not provide information). The perceived risk and future time orientation as individual characteristics of individual participants were set as variables that could influence the message effect. In this paper, we propose a message expression method and effective message delivery method in the aspect of message strategy and effect of execution when promoting understanding and interest in hearing loss prevention.

• 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.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1976.06a
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• pp.85.1-85
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• 1976

Audiological evaluation was performed for 184 female weavers (351 ears), who were 18~25 years old and have been working under exposure of 103~105 ㏈a of machinary noise. With the duration of employment, they were divided into five groups; under 1 year, 1~2 years, 2~3 years, 3~4 years and over 4 years. The following results were obtained: 1. The incidence ;of noise induced hearing loss was 39.7% (36.2% of ears) and rapidly increased during first 1~2 years. 2. The average maximum hearing loss on the pure tone audiograms appeared at 4,000Hz with .about 40 ㏈ of hearing level. The average hearing level at high frequencies(3,000Hz~8,000Hz) showed below 25㏈ of hearing level in all groups and had the tendency to increase slightly with the duration of working, but the most of hearing losses developed during first one year except at 8,000Hz. 3. The average hearing level at speech frequencies was within normal range but the cases of hearing level over 25 ㏈ at 2,000Hz was 27.1%. 4. The cases with maximum hearing loss at 4,000Hz were 72.7%, but the cases of maximum hearing loss at the other frequencies (3,000Hz, 6,000Hz .and 8,000Hz) were also observed and they increased slightly in numbers with the duration of working. The noise induced hearing loss under the exposure of 103~105㏈a for 5 years, seemed to develope during first 1~2 years and there after slightly .increased hearing loss was showed but no remarkable changes were observed.

• Proceedings of the ESK Conference
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• 1997.10a
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• pp.179-185
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• 1997

작업장 뿐만 아니라 일상생활에서도 결코 무시될 수 없는 것이 레져활동으로 인한 소음이다. 최근 급격히 늘어가는 개인 휴대용 카세트(Personal Cassette Players: PCP)사용은 심각한 소음성난청 발생이 우려된다. 본 연구는 PCP사용에 관련된 여러 인자들이 청력손실과 어떻게 얼마나 관련이 있는가를 파악 하고 PCP를 일정시간 사용했을 때 오는 청력 손실을 정량적으로 파악, 분석하는데 근본 목적을 둔다. 정상 청력을 가진 피실험자 18명의 대학생들을 대상으로 정상 청취조건 그리고 배경소음(지하철)에 노출 중과 후의 사용환경과 소음원으로 Hard Music, Soft Music 및 Language/News를 고려하여 평균소음도와 최고 소음도를 측정하였다. 또한 현실적 상황을 고려한 2시간 정도의 PCP의 청취 전과 후의 청력변화를 측정하였다. 통계 분석 결과, 사용환경과 소음원에 대해 휴대용 카세트 청취 소음수준이 유의한 차이가 있었으며, 특히 Hard Music 청취시에는 95dB, 그리고 지하철 소음하에서는 92dB의 높은 (위험한) 청취수 준을 보였다. 최고소음수준의 경우 NIOSH기준을 초과하는 117dB 정도의 매우 위험한 수준까지 나타났다. 또한 2 시간 정도의 PCP소음에 노출 전 후의 청력손실이 주파수 대역에 걸쳐 유의하게 나타났으며, 특히, 가장 민감한 주파수 대역인 4000Hz에서 최고 7dB 정도의 청력 손실이 발생하였다. 본 연구 결과에 따라, PCP사용에 대한 청력보호대책안을 제시하고자 한다.

• 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 rehabilitation welfare engineering & assistive technology
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• v.11 no.3
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• pp.215-221
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• 2017

Audiological rehabilitation by itself can provide satisfactory services through acquisition of background information on hearing loss, audiological evaluation, analysis of electroacoustic characteristics of hearing aids, and determining acoustic gain. However, hearing can be exacerbated, and sound pressure level of hearing aids can be lowered. Moreover, breakdown of hearing aids can happen. Therefore, the early detection of hearing loss and regular follow-up observations are very important. The aim of this study concern the direction of effective audiological rehabilitation by checking the clinical cases where hearing aids fitting failures were found.

• 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.