• 한국노년학
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• v.37 no.1
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• pp.1-14
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• 2017

The purpose of this study was to examine the effect of vision and hearing limitation on the onset of disability among Korean elderly with the consideration of social participation and depression. Study population consisted of 2,670 people aged 65 and above who participated in both the 1st(2006) and 2nd(2008) wave of the Korean Longitudinal Study of Aging(KLoSA), and also reported no ADL or IADL disability in 2006. As the results, first, it found that vision and hearing limitation, social participation, and depression were significant risk factors for the onset of IADL disability in unadjusted analysis. After multivariable adjustment, however, only vision limitation showed significant association with the onset of IADL disability. Second, in the logistic analysis with four categorized variables(vision/hearing limitation + social participation, vision/hearing limitation + depression), the elderly who had vision or hearing limitation had a significantly 1.7 times higher odds ratio for disability onset if they also had low social participation compared with those who had no vision or hearing limitation, and high social participation. Whereas, depression was not significantly associated with the relationship between vision or hearing limitation, and disability onset. The study suggests that the intervention program developed to prevent social isolation of older people with vision or hearing limitation, may be helpful to reduce and postpone the risk of disability onset as well as early detection and treatment of vision or hearing problems.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.2
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• pp.571-579
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• 2019

The purpose of this study was to identify levels of hearing handicap, depression, and self-efficacy, and to determine the effect of hearing handicap on depression and self-efficacy in home-based elderly. Data were collected from August to September 2017. Two hundred and seventy eight elderly living at home in three cities participated in this study. Data were analyzed using the independent t-test, one-way ANOVA, Scheffe's test, Pearson's correlation coefficients, and by multiple regression analysis using SPSS Ver. 20.0 for Windows. Mean levels of hearing handicap, depression, and self-efficacy were 10.91 (${\pm}19.83$), 4.75 (${\pm}3.90$), and 46.87 (${\pm}6.75$) respectively. A statistically significant positive correlation was observed between hearing handicap and depression (r=.228, p<.001), and significant negative correlations were found between hearing handicap and self-efficacy (r=-.284, p<.001) and between depression and self-efficacy (r=-.526, p<.001). Hearing handicap had a negative effect on self-efficacy (${\beta}=-.161$, p=.008) and its explanatory power was 27.2%. The study results suggest that the developments of multidisciplinary interventions and education programs are important to prevent or minimize hearing handicap in the elderly.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1987.05a
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• pp.7.1-7
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• 1987

청력장애가 있고 반복성 뇌막염을 앓는 환자에서는 일단 외임파누공을 의심하고 이에 대한 이비인후과 의사의 철저한 진찰 및 검사를 통해 진단 및 치료에 임해야 하겠다. 저자들은 최근에 경험한 재발성 뇌막염 환아에서 외임파누공을 진단하고 치료한 2예를 보고하고자 한다. 선천적으로 청력장애가 있고 수술전 1년동안 5∼6회의 뇌막염을 앓은 환아를 이학적검사, 청력검사 및 전산화 단층촬영을 이용하여 외임파누공을 진단하고 근막을 포함한 연조직으로 누공을 봉쇄하는 수술적 요법을 사용하여 완치시켰기에 문헌고찰과 함께 보고하는 바이다.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1979.05a
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• pp.4.4-5
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• 1979

The degree of hearing impairment of chronic otitis media will indicate the nature and severity of middle ear pathology especially condition of ossicular chain, size of ear drum perforation and location of granulation tissue in the middle ear cavity. The subjects were 189 ears of tympanoplasty for chronic otitis media and divided into four groups as follows: Normal ossicular chain with only ear drum perforation (group I), normal ossicular chain with granulation tissue only around the ossicles regardless of any other region (group II), ossicular ankylosis or fixation of handle of malleus to promontory with or without granulation tissue around the ossicle (group III) and ossicular interruption by partial or complete destruction(groupf IV). The results were concluded as follows: 1) The average hearing threshold of chronic otitis media was 44.6 dB and hearing threshold was closely related to the condition of ossicular chain. Hearing threshold became greater in order of normal ossicular chain, ankylosis and interruption. 2) The average hearing threshold of ossicular interrupted group was 49.1 dB and it was greater in the cases of total destruction than that of partial destruction. 3) The hearing loss in the cases of normal ossicular chain with only tympanic membrane perforation was within 45 dB and this level was presumed to represent normal ossicular function. The degree of hearing loss was in proportion to the size of ear drum perforation and when over 45 dB, other middle ear pathology was suggested. 4) In the cases of small ear drum perforation with normal ossicular function, the hearing threshold was within 30 dB. 5) In the type of audiogram, flat type was 30.2% and ascending type 35.4%. Descending type was more frequent in the cases of normal ossicular mobility with granulation tissue around the ossicle and flat type was observed frequently in the cases of ossicular ankylosis. 6) Carhart's notch was seen in 14 cases (7.4%) and observed mainly in ossicular ankylosis. 7) There was no relation between hearing threshold and histopathological type of granulation tissue in chronic otitis media. However the degree of hearing impairment was related to the location of granulation tissue in the middle ear cavity. 8) Authors recognized the granulation tissue compensated the function of interrupted ossicular chain.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1977.06a
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• pp.5.2-5
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• 1977

Many persons, both children and adults, suffer from impaired hearing. The handicaps that arise from this are economic, educational and above all, social. These persons need help, both medical and educational. In order to plan facilities for the medical treat ment, the rehabilitation, and the special education required by those with impaired hearing, we must know how many persons with hearing problems there are and the severity of their handicaps. The first step in knowing these is to devide hearing impairent into categories of handicap. Historically, since Beasley (1940) proposed progressive stages of deafness in terms of social disability, there was no well organized classification. of hearing handicap except related material from Huzing (1959) and Silverman (1960). In 1965, Goodman advocated a guide hearing threshold levels and degres of relating hearing impairment. During recent one year, on the bases of Goodman classification of hearing impairment and the report from Illinois Comission on children (1968), we have studied about hearing handicaps and speech life for the 180 cases, who visited to our otolaryngology department with hearing impairment. Now, we report the results of study with the referred references.

• 건강소식
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• v.19 no.11 s.204
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• pp.10-10
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• 1995

• 월간산업보건
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• s.48
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• pp.50-50
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• 1992

• 건강소식
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• v.19 no.12 s.205
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• pp.10-10
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• 1995

• Proceedings of the KIEE Conference
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• 2008.10b
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• pp.201-202
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• 2008

난청은 가장 흔한 선천성 장애이다. 이 질병의 발생 빈도는 신생아 1000명 출생 당 $1{\sim}3$명 정도로 상당히 높다. 이러한 청력 장애가 조기에 발견된다면 수술적인 치료 등으로 예방할 수 있으나 그렇지 못할 경우 언어와 학습장애를 초래하게 된다. 이런 관점을 근거로 신생아를 대상으로 한 선천성 난청의 선별검사는 큰 의미를 가지며 난청환자의 조기발견을 위한 노력이 필수적이라 할 수 있다. 기존의 수동 청력검사 시스템은 신생아 청력 평가시 검사자의 주관성에 의존하게 되므로, 청성뇌간 반응의 뇌파분석이 잘못될 가능성이 커진다. 따라서 본 연구에서는 청력 역치를 자동으로 판독하여 결과를 나오도록 개발하고자 하였으며, 또한 기존 제품들과는 차별화하여 휴대용으로 개발하여 차폐실이 아닌 일반 병실에서도 검사가 가능하도록 함에 따라 유소아의 청각 장애를 극복시키는데 기여하고자 하였다.

• Journal of the Korea Convergence Society
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• v.12 no.10
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• pp.97-104
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• 2021

The purpose of the study was to investigate whether there are differences in confrontation naming ability, generative naming ability, hearing handicap, and depression in community-dwelling elderly by age group, and whether there is any correlation among them, and to find out what factors explain the two naming abilities (confront and generative) of the elderly. Sixty-five community-dwelling elderly people participated: 65~74 years were classified into young-old; 75~84 years into old-old; and 85 years and over into oldest-old. K-BNT-15 for the confrontation naming ability, animal naming test for the generative naming ability, K-HHIE for the subjective hearing handicap, and GDS for the subjective depression were administered. First, there was a statistically significant difference in confrontation naming and depression levels according to age groups. Second, there was a positive correlation between chronological age and subjective depression level and between subjective hearing handicap level and subjective depression level, and a negative correlation between education level and subjective depression level. Third, the confrontation naming score was explained by age, and the generative naming score was explained by subjective depression level. The results show that naming abilities, subjective hearing handicap, and subjective depression level are not simply the result of normal aging and that a convergence approach is needed in various fields to solve the issue.