• 대한통합의학회지
• /
• 제6권3호
• /
• pp.141-147
• /
• 2018

Purpose : Aim of the this study was conducted to determine whether hearing aids are responsible for the quality of life by comparing quality of life between the elderly who are suspected of difficulty in hearing selected by Hearing Handicap Inventory of Elderly (HHIE) without using hearing aids and who are using hearing aids. Methods : For the study, two groups of 33 people were analyzed for independent t-test based on whether they wore Hearing Aids (HA) or not whom wearing hearing aids (hearing aids users) and suspected difficulty in hearing. who are attending the Religious organization Senior Welfare Center in the OO region. Result : The quality of life of hearing aid users is generally observed to be higher than that of non-users in general, and by the section, psychological (p=0.019) and living environment (p=0.032) were appeared statistically signigicant. The elderly showed a significant difference. In the section, "Operation Satisfaction (p=0.038)" in the physical health area, "relationship of reason (p=0.018)" in the social relationship area, "Economic margin (p=0.021)" in the environmental area, "Information accessibility (p=0.020)", In the psychological area, hearing aid was used for "self satisfaction (p=0.033)", "concentration of work (p=0.045)". Conclusion : The use of hearing aids by hearing loss elderly improves the quality of life in the psychological health and living environment section.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제18권2호
• /
• pp.45-54
• /
• 2012

The Act of Disability Discrimination and Rights Restriction was enacted in 2008 states that all services including cultural and artistic activities should be fair and easily accessible for disabled. The aim of this study was to determine how to improve the facilities and services for the disabled in Theater and provide complementary guidelines for amenities designed for people with disabled. The conclusions identified through this study are as follows: 1) It should be installed pedestrian safe passage so that visitors could access from the entrance of the ground to the seat in the theater. 2) Disabled seats install in a position to Emergency evacuation for people with disabilities, and it is recommended that general seats are placed side by side with Disabled seats. 3) It is analyzed services for the visually impaired and hearing impaired are very poor. Therefore assistive devices and human services should be provided to the visually impaired and hearing impaired. 4) People with disabilities can participate in the show as the performers, so it should be provided reasonable accommodations such as access to the stage.

• 대한청각학회지
• /
• 제25권2호
• /
• pp.110-114
• /
• 2021

We report a case of hearing rehabilitation following combined cochlear implantation and ossiculoplasty. A 71-year-old patient visited the clinic for right-sided mixed hearing loss. We targeted neural and conductive components, performing two different operations simultaneously. At two months post-operative, the patient showed satisfactory results with respect to hearing threshold and speech comprehension. Our experience suggests that careful evaluation of patients and consideration of the diverse array of available treatment strategies can be used to provide personalized rehabilitation with maximal effectiveness. To the best of our knowledge, this is the first report to take such an integrated approach to treat hearing impairment and is thus likely to have clinical importance for otologists.

• 대한청각학회지
• /
• 제25권4호
• /
• pp.235-240
• /
• 2021

Sudden sensorineural hearing loss (SSNHL) is a common disorder; however, sequential, bilateral presentation of the disease is rarer than unilateral presentation. Clinical otologists usually focus on treating the side with impaired hearing when patients first present with unilateral SSNHL, and therefore, may not warn patients of the possibility of subsequent hearing impairment in the contralateral ear. Furthermore, it is professionally discouraging when a patient presents with profound, sequential SSNHL after initial treatment. This may adversely impact the doctor-patient relationship, even if the patient is offered the best possible care from their first visit. Herein, we report the case of a patient with profound, idiopathic, bilateral SSNHL with a time interval of 37 days between involvement of both ears. Even though high-dose steroids were administered intraorally and intratympanically, the patient's hearing was not restored, and the patient eventually required bilateral cochlear implant surgery. Our report demonstrates that sequential, profound, bilateral SSNHL may manifest without any specific signs.

• Journal of Audiology & Otology
• /
• 제25권2호
• /
• pp.110-114
• /
• 2021

We report a case of hearing rehabilitation following combined cochlear implantation and ossiculoplasty. A 71-year-old patient visited the clinic for right-sided mixed hearing loss. We targeted neural and conductive components, performing two different operations simultaneously. At two months post-operative, the patient showed satisfactory results with respect to hearing threshold and speech comprehension. Our experience suggests that careful evaluation of patients and consideration of the diverse array of available treatment strategies can be used to provide personalized rehabilitation with maximal effectiveness. To the best of our knowledge, this is the first report to take such an integrated approach to treat hearing impairment and is thus likely to have clinical importance for otologists.

• Journal of Audiology & Otology
• /
• 제25권4호
• /
• pp.235-240
• /
• 2021

Sudden sensorineural hearing loss (SSNHL) is a common disorder; however, sequential, bilateral presentation of the disease is rarer than unilateral presentation. Clinical otologists usually focus on treating the side with impaired hearing when patients first present with unilateral SSNHL, and therefore, may not warn patients of the possibility of subsequent hearing impairment in the contralateral ear. Furthermore, it is professionally discouraging when a patient presents with profound, sequential SSNHL after initial treatment. This may adversely impact the doctor-patient relationship, even if the patient is offered the best possible care from their first visit. Herein, we report the case of a patient with profound, idiopathic, bilateral SSNHL with a time interval of 37 days between involvement of both ears. Even though high-dose steroids were administered intraorally and intratympanically, the patient's hearing was not restored, and the patient eventually required bilateral cochlear implant surgery. Our report demonstrates that sequential, profound, bilateral SSNHL may manifest without any specific signs.

• 한국음향학회지
• /
• 제39권6호
• /
• pp.600-605
• /
• 2020

본 논문에서는 청각 장애인을 위한 소리 감지 홈 모니터링을 위해 다채널 다중 스케일 신경망을 사용한 사운드 이벤트 검출 방식을 제안한다. 제안하는 시스템에서는 홈 내의 여러 무선 마이크 센서들로부터 높은 신호 품질을 갖는 두 개의 채널을 선택하고, 그 신호들로부터 도착신호 지연시간, 피치 범위, 그리고 다중 스케일 합성 곱 신경망을 로그멜 스펙트로그램에 적용하여 추출한 특징들을 양방향 게이트 순환 신경망 기반의 분류기에 적용함으로써 사운드 이벤트 검출의 성능을 더욱 향상시킨다. 검출된 사운드 이벤트 결과는 선택된 채널의 센서 위치와 함께 텍스트로 변환되어 청각 장애인에게 제공된다. 실험결과는 제안한 시스템의 사운드 이벤트 검출 방식이 기존 방식보다 우수하며 청각 장애인에게 효과적으로 사운드 정보를 전달할 수 있음을 보인다.

• 재활복지
• /
• 제21권4호
• /
• pp.1-31
• /
• 2017

본 연구는 청각장애인에게 보다 유용한 수화언어통역서비스를 발전시키기 위한 방안을 모색하는데 목적을 두고, Q방법을 활용하여 청각장애인의 수화언어통역에 대한 다양한 주관적 인식 유형을 파악하고자 하였다. 이를 위해 선행 연구들과 심층 인터뷰를 바탕으로 39개의 진술문을 추출하고, 청각장애인 20명에 대한 Q분류를 시행하였다. 연구결과, 청각장애인이 많이 이용하는 기관에 수화통역사를 배치하는데 대한 공통 인식 분석과 함께, '수화언어통역의 전문화 추구형', '전통적인 수화언어통역서비스 추구형', '수화언어통역서비스 확대 및 개선 추구형' 등 차별화된 3가지 인식 유형을 도출하였다. 이에 근거하여 주요 공공시설에 수화통역사 상주화 방안, 수화통역사 자격제도 및 교육훈련과정의 개선 방안, 영역별 전문화와 수화언어통역서비스 형태의 개선 방안, 고령층에 차별화된 서비스 제공, 수화언어통역 이용자의 욕구를 반영한 수화통역사 배치 등의 개선 방향을 제안하였다.

• 한국사회복지학
• /
• 제66권3호
• /
• pp.297-319
• /
• 2014

본 연구의 목적은 시각, 청각, 지적 여성장애인의 자녀양육부담과 부모역할만족도의 관계를 살피고 자녀와의 의사소통이 이들 사이를 매개하는지를 검증함으로써 여성장애인의 양육부담을 경감시키고 효과적인 부모역할 수행 방안을 마련하는데 있다. 조사는 서울지역 장애인복지관과 여성장애인 관련 단체의 협조를 통해 총 13개 기관에 300부를 배포하였고, 청각장애 여성은 자기기입방식으로, 시각과 지적장애 여성들은 조사원이 읽어주고 대답하는 방식으로 210부를 회수하여 최종분석에는 187부가 사용되었다. 연구결과 양육부담은 부모역할만족도와 자녀와의 의사소통에 직접적인 부적(-) 관계를 형성하는 것으로 나타났다. 또한 자녀와의 의사소통은 양육부담이 부모역할만족도에 영향을 미치는 관계를 매개하고 있는 것으로 확인되었다. 따라서 여성장애인의 양육부담을 감소시키고 부모역할만족도를 증진시키는 동시에 자녀와의 의사소통 기술을 보다 강화하는 방안을 고려할 필요가 있다.

• Clinical and Experimental Pediatrics
• /
• 제50권1호
• /
• pp.7-13
• /
• 2007

Hearing loss in newborns is the most frequently occurring birth defect. If hearing impaired children are not identified and managed early, it is difficult for many of them to acquire the fundamental language, social and cognitive skills that provide the foundation for later schooling and success in society. All newborns, both high and low risk, should be screened for hearing loss in the birth hospital prior discharge (Universal Newborn Heaing Screening, UNHS). Objective physiologic measures must be used to detect newborns and very young infants with hearing loss. Recent technological developments have produced screening methods and both evoked otoacoustic emission (EOAE) and auditory brainstem response (ABR) have been successfully implemented for UNHS. Audiologic evaluation should be carried out before 3 months of age and infants with confirmed hearing loss should receive intervention before 6 months of age. All infants who pass newborn hearing screening but who have risk indicators for other auditory disorders and/or speech and language delay receive ongoing audiologic surveillance and monitoring for communication development. Infants with sensorineural hearing loss are managed with hearing aids and receive auditory and speech-language rehabilitation therapies. Cochlear implants can be an outstanding option for certain children aged 12 months and older with severe to profound hearing loss who show limited benefit from conventional amplifications.