• Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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• 2007.11a
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• pp.796-801
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• 2007

This research presents a laboratory study about a comparison between two methods that measure a hearing threshold of the Subjects who participated in an experiment of the Jury test. The Subjects heard a signal by a headphone. The Subjects of total 63 persons (man=42, woman=21 persons) participated in an experiment. A test of hearing was divided into two (Top-Down, Bottom-Up) methods. Total time of hearing test was about 80 minute(40min/day). As a results of the hearing test, a hearing threshold of the Subjects who used to wear a headphone was higher than that of the Subjects who not used to wear a headphone. A hearing threshold of a man was higher than that of a woman. The result of hearing test was showed that ISO's hearing threshold(MAF) was lower than a result that get from an experiment.

• Journal of the Korean Institute of Electrical and Electronic Material Engineers
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• v.22 no.8
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• pp.704-713
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• 2009

As using recruitment phenomenon, SISI test and Bekesy audiometry are employed to differentially diagnose both the cochlear hearing loss and the retrocochlear hearing loss. The main purpose of this study is to find out the sensitivity and specificity of the SISI test within the scope of 1 KHz to 4 KHz in diagnosing various types of hearing losses. In this study, the Bekesy audiometry was conducted for Bekesy audiograms of certain groups according to Jerger's classification, which included persons with normal hearing and patients with hearing impairment. Subject persons of the SISI test were categorized into the several groups with normal hearing, mild hearing loss, moderate hearing loss, moderate-severe hearing loss and severe hearing loss, respectively. The sensitivity and specificity of certain groups were evaluated according to the SISI scores of 20 % below, 25 ${\sim}$ 65 %, and more than 70%. Also, the Bekesy audiometry is conducted on the several subject groups with normal hearing, mixed hearing loss, and sensori-neural hearing loss.

• Journal of Audiology & Otology
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• v.25 no.4
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• pp.171-177
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• 2021

Background and Objectives: The purpose of the present study was to validate the performance and diagnostic efficacy of the Korean digits-in-noise (K-DIN) test in comparison to the Korean speech perception-in-noise (K-SPIN) test, which is the representative speech-in-noise test in clinical practice. Subjects and Methods: Twenty-seven subjects (15 normal-hearing and 12 hearing-impaired listeners) participated. The recorded Korean 0-9 digits were used to form quasirandom digit triplets; 50 target digit triplets were presented at the most comfortable level of each subject while presenting speech-shaped background noise at various levels of signal-to-noise ratios (-12.5, -10, -5, or +5 dB). Subjects were then instructed to listen to both target and noise masker unilaterally and bilaterally through a headphone. K-SPIN test was also conducted using the same procedure as the K-DIN. After calculating their percent correct responses, K-DIN and K-SPIN results were compared using a Pearson-correlation test. Results: Results showed a statistically significant correlation between K-DIN and K-SPIN in all hearing conditions (left: r=0.814, p<0.001; right: r=0.788, p<0.001; bilateral: r=0.727, p<0.001). Moreover, the K-DIN test achieved better testing efficacy, shorter average listening time (5 min vs. 30 min), and easier performance of task according to participants' qualitative reports than the K-SPIN test. Conclusions: In this study, the Korean version of digit triplet test was validated in both normal-hearing and hearing-impaired listeners. The findings suggest that the K-DIN test can be used as a simple and time-efficient hearing-in-noise test in audiology clinics in Korea.

• Korean Journal of Audiology
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• v.25 no.4
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• pp.171-177
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• 2021

Background and Objectives: The purpose of the present study was to validate the performance and diagnostic efficacy of the Korean digits-in-noise (K-DIN) test in comparison to the Korean speech perception-in-noise (K-SPIN) test, which is the representative speech-in-noise test in clinical practice. Subjects and Methods: Twenty-seven subjects (15 normal-hearing and 12 hearing-impaired listeners) participated. The recorded Korean 0-9 digits were used to form quasirandom digit triplets; 50 target digit triplets were presented at the most comfortable level of each subject while presenting speech-shaped background noise at various levels of signal-to-noise ratios (-12.5, -10, -5, or +5 dB). Subjects were then instructed to listen to both target and noise masker unilaterally and bilaterally through a headphone. K-SPIN test was also conducted using the same procedure as the K-DIN. After calculating their percent correct responses, K-DIN and K-SPIN results were compared using a Pearson-correlation test. Results: Results showed a statistically significant correlation between K-DIN and K-SPIN in all hearing conditions (left: r=0.814, p<0.001; right: r=0.788, p<0.001; bilateral: r=0.727, p<0.001). Moreover, the K-DIN test achieved better testing efficacy, shorter average listening time (5 min vs. 30 min), and easier performance of task according to participants' qualitative reports than the K-SPIN test. Conclusions: In this study, the Korean version of digit triplet test was validated in both normal-hearing and hearing-impaired listeners. The findings suggest that the K-DIN test can be used as a simple and time-efficient hearing-in-noise test in audiology clinics in Korea.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.9 no.2
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• pp.121-128
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• 2015

In this paper, we introduce our smart phone application for hearing impaired people. Unlike previous hearing aids application, our application has both functions of self hearing tests and sound amplification. We provide user with two types of self hearing test, those are standard hearing test and detail hearing test. Each test has different advantages like short test time and accurate test result, however both tests provide reliable result. Our hearing test allows that user can measure their hearing loss level according to the frequency. Sound amplification function provide proper fitting formula by using NAL-NL1, and it guarantees high speech intelligibility. Our application can also memorize user's fitting data at specific test condition. Therefore those who using our hearing aids application can easily reset their hearing aids / earphone properties periodically. Our application is advanced at the aspect of self fitting function that no other previous application did. So we are expecting these comfortable processes about fitting lead the number of hearing aids user to be increased.

• Journal of Audiology & Otology
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• v.25 no.2
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• pp.72-79
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• 2021

Background and Objectives: The speech-in-noise test is typically performed using an audiometer. The results of the digit-in-noise recognition (DIN) test may be influenced by the flat frequency response of free-field audiometry and frequency of the hearing aid fit based on fitting rationale. This study aims to investigate the DIN test in unaided and aided conditions. Subjects and Methods: Thirty four adults with moderate and severe sensorineural hearing loss (SNHL) participated in the study. The signal-to-noise ratio (SNR) for 50% of the DIN test was obtained in the following two conditions: 1) the unaided condition, performed using an audiometer in a free field; and 2) aided condition, performed using a hearing aid with an unvented individual earmold that was fitted based on NAL-NL2. Results: There was a statistically significant elevation in the mean SNR for the severe SNHL group in both test conditions when compared with that of the moderate SNHL group. In both groups, the SNR for the aided condition was significantly lower than that of the unaided condition. Conclusions: Speech recognition in hearing-impaired patients can be realized by fitting hearing aids based on evidence-based fitting rationale rather than by measuring it using free-field audiometry measurement that is utilized in a routine clinic setup.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.1 no.1
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• pp.21-28
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• 2007

In most of hearing aids, amplification algorithms are used to compensate hearing loss, noise and feedback reduction algorithms are used and to increase the perception of speeches contrast enhancement algorithms are used. However, acoustic masking effect is occurred between formants if contrast is enhanced excessively. To confirm the masking effect in speeches, the experiment are composed of 6 tests; test pure tone test, speech reception test, word recognition test, pure tone masking test, formant pure tone masking test and speech masking test, and for objective evaluation, LLR is introduced. As a result of normal hearing subjects and hearing impaired subjects, more making is occurred in hearing impaired subjects than normal hearing subjects when using pure tone, and in the speech masking test, speech reception is also lower in hearing impaired subjects than in normal hearing subjects. This means that acoustic masking effect rather than distortion influences speech perception. So it is required to check the characteristics of masking effect before wearing a hearing aid and to apply this characteristics to fitting curve.

• The Transactions of The Korean Institute of Electrical Engineers
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• v.59 no.4
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• pp.831-840
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• 2010

In this paper, we propose a hearing impairment simulator considering reduced frequency selectivity and asymmetrical auditory filter of the hearing impaired, and we verified the reduced frequency selectivity and asymmetrical auditory filter affected in speech perception through experiments. The reduced frequency selectivity has made embodied by spectral smearing using LPC(linear prediction coding). The shapes of auditory filter are asymmetrical different with each center frequency. Hearing impaired person which has hearing loss was differently changed with that of normal hearing people and it has different value for speech of quality through auditory filter. The experiments confirmed subjective test and objective test. The subjective experiments are composed of 4 kinds of tests: pure tone test, SRT(speech reception threshold) test, and WRS(word recognition score) test without spectral smearing, and WRS test with spectral smearing. The experiment of the hearing impairment simulator was performed from 9 subjects who have normal ears. The amount of spectral smearing was controlled by LPC order. The asymmetrical auditory filter of proposed hearing impairment simulator was simulated and then some tests to estimate the filter's performance objectively were performed. The objective experiment as simulated auditory filter's performance evaluation method used PESQ(perceptual evaluation of speech quality) and LLR(log likelihood ratio) for speech through auditory filter. The processed speech was evaluated objective speech quality and distortion using PESQ and LLR value. When hearing loss processed, PESQ and LLR value have big difference according to asymmetrical auditory filter in hearing impairment simulator.

• Journal of Biomedical Engineering Research
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• v.30 no.1
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• pp.94-102
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• 2009

In this paper, we propose a hearing impairment simulator considering reduced frequency selectivity of the hearing impaired, and verify it's performance through experiments. The reduced frequency selectivity was embodied by spectral smearing using linear prediction coding(LPC). The experiments are composed of 4 kinds of tests; pure tone test, speech reception threshold(SRT) test, and word recognition score(WRS) test without spectral smearing and with spectral smearing. The experiments of the hearing impairment simulator were performed with 9 subjects who have normal hearing. The amount of spectral smearing was controlled by LPC order. The percentile score of WRS test without smearing is $89.78{\pm}2.420%$. The scores of WRS with 24th LPC order and with 8th LPC order are $88.00{\pm}3.556%$ and $83.78{\pm}2.123%$ respectively. It is verified that WRS score is lowered by decreasing LPC order. This is a reasonable result considering that spectral smearing is getting heavier according to decreasing LPC order. It is confirmed that spectral smearing using LPC simulates the reduced frequency selectivity of the hearing impaired and affects the clearness of speech reception.

• Journal of Biomedical Engineering Research
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• v.30 no.2
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• pp.169-178
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• 2009

In this study, we suggest Korean nonlinear fitting formula (KNFF) to maximize speech intelligibility for digital hearing aids based on NAL-NL1 (NAL-nonlinear, version 1). KNFF was derived from the same procedure which is used for deriving NAL-NL1. KNFF consider the long-term average speech spectrum of Korean instead of English because the frequency characteristic of Korean is different from that of English. New insertion gains of KNFF were derived using the SII (speech intelligibility index) program provided by ANSI. In addition, the insertion gains were modified to maximize the intelligibility of high frequency words. To verify effect of the new fitting gain, we performed speech discrimination test (SDT) and preference test using the hearing loss simulator from NOISH. In the SDT, a word set as test material consists of 50 1-syllable word generally used in hearing clinic. As a result of the test, in case of moderate hearing loss with severe loss on high frequency, the SDT scores of KNFF was more improved about 3.2% than NAL-NLl and about 6% in case of the sever hearing loss. Finally we have obtained the result that it was the effective way to increase gain of mid-high frequency bands and to decrease gain of low frequency bands in order to maximize speech intelligibility of Korean.