• 제목/요약/키워드: Pure Tone

검색결과 177건 처리시간 0.027초

Safety and efficacy of transcutaneous bone conduction implant surgery for hearing improvement in microtia patients with bilateral hearing impairment

  • Cheon, Jeong Hyun;Lee, Hyung Chul;Im, Gi Jung;Park, Jung Youl;Park, Chul
    • Archives of Plastic Surgery
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    • 제46권6호
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    • pp.525-534
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    • 2019
  • Background In microtia patients with bilateral hearing impairment, hearing improvement is crucial for language development and performance. External auditory canal reconstruction (EACR) has been performed to improve hearing, but often results in complications. We performed transcutaneous bone conduction implant (TBCI) surgery in these patients. This study aimed to evaluate the safety and efficacy of TBCI surgery. Methods A retrospective review was performed of five patients who underwent auricular reconstruction and TBCI surgery and 12 patients who underwent EACR between March 2007 and August 2018. Hearing improvement was measured based on the air-bone gap values using pure-tone audiometry over a 6-week postoperative period. We reviewed other studies on hearing improvement using EACR and compared the findings with our results. The surgical techniques for TBCI were reviewed through case analyses. Results Postoperative hearing outcomes showed a significant improvement, with a mean gain of 34.1 dB in the TBCI cohort and 14.1 dB in the EACR cohort. Both gains were statistically significant; however, the TBCI cohort showed much larger gains. Only three of the 12 patients who underwent EACR achieved hearing gains of more than 20 dB, which is consistent with previous studies. All patients who underwent TBCI surgery demonstrated hearing gains of more than 20 dB and experienced no device-related complications. Conclusions TBCI is a safe and effective method of promoting hearing gains in microtia patients with bilateral hearing impairment. TBCI surgery provided better hearing outcomes than EACR and could be performed along with various auricular reconstruction techniques using virgin mastoid skin.

좌우 청력 차이에 따른 바이노럴 비트 세기의 변화 (Changes in binaural beat strength to the difference of right and left hearing ability)

  • 김성찬;최민주
    • 한국음향학회지
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    • 제39권1호
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    • pp.57-63
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    • 2020
  • 바이노럴 비트는 양이에 도달한 소리의 주파수 차이로 유발된 주관적인 맥놀이 현상이다. 물리적으로 맥놀이의 세기는 주파수가 다른 두 신호의 크기에 영향을 받는다. 따라서 바이노럴 비트는 좌우 청력의 차이에 따라 영향을 받을 것으로 예상된다. 본 연구에서는 청력에 따른 효과를 평가하기 위해, 정상 청력을 가진 34명의 피실험자가 한 쪽 귀에 기준음[440 Hz, 50 dB Sound Pressure Level(SPL)], 반대 측 귀에 주파수가 다른 제시음(450 Hz)을 SPL을 감소하며 들을 때, 주관적으로 느끼는 바이노럴 비트 의 세기의 변화를 Semantic Differential Method(SDM) 이용하여 평가하도록 했다. 실험 결과 피실험자가 느끼는 바이노럴 비트의 세기는, 좌우 소리의 SPL 차이가 역치(2.2 dB)보다 크면, 좌우 소리의 SPL 차이가 증가함에 따라 지속적으로 유의하게 감소하는 것으로 나타났다. 이러한 결과는 바이노럴 비트 효과를 최대로 하기 위해 좌우 청력 차이를 적절한 범위(예. 2.2 dB) 이내로 유지하는 것이 필요하다는 것을 시사한다.

난청인의 주파수 선택도와 비대칭적 청각 필터를 고려한 난청 시뮬레이터 개발에 관한 연구 (A Study on Development of a Hearing Impairment Simulator considering Frequency Selectivity and Asymmetrical Auditory Filter of the Hearing Impaired)

  • 주상익;강현덕;송영록;이상민
    • 전기학회논문지
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    • 제59권4호
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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.

색상처리를 통한 감성 모바일 디스플레이 (Enhancing Visual Perception Using Color Processing Of Mobile Display)

  • 강윤철;유미옥;박경주
    • 한국HCI학회:학술대회논문집
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    • 한국HCI학회 2008년도 학술대회 1부
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    • pp.697-702
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    • 2008
  • 2007년 현재 전 세계적으로 모바일 기기 사용 인구수는 약 30억 명으로 전 세계 PC사용자 수의 두 배에 달한다. 모바일 디스플레이는 작은 크기로 인해 휴대성이 높은 등 많은 장점을 갖고 있지만, 소형화와 전력 절감을 위해 얇은 디스플레이 패널과 저성능 이미지 센서를 채택하는 등 대형 디스플레이에 비해 색상표현력이 떨어질 수 밖에 없다. 따라서 본 연구에서는 모바일 디스플레이 자체의 성능이 떨어지더라도 사람의 눈에 인식되기 용이하게 색채이론에 입각해 이미지 환경을 변경하는 방법을 제안한다. 사람의 눈은 망막상의 색신경이 어떤 색의 자극을 받게 되면 그 색의 보색에 대한 감수성이 높아지고, 명암차이가 분명한 색상들을 나열하면 반대 밝기에 대한 민감도가 높아진다. 사람의 시각신경에서 느끼는 색채에 대한 감성적인 색상처리(RGB의 채도를 증가 시키거나 다이나믹 레인지의 확장과 보색대비의 강조에 따른 변화)를 통하여 얻은 데이터를 비교 분석 한다. 그 결과 적용 전의 이미지보다 적용 후의 이미지의 인식률이 높아지고 화질이 향상됨을 알 수 있다.

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무채색 무늬가 포함된 배경색의 파스텔색상에 따른 뇌파반응 (Brain Waves Evoked by the Changes of Background Pastel Colors with a Pattern of Achromatic Color)

  • 이희란;김소영;김기성;홍경희
    • 한국의류산업학회지
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    • 제19권5호
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    • pp.653-660
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    • 2017
  • Recently, consumers' evaluation and purchase of online design has been increasing due to the popularization of designing through personal computers, but there has not been enough studies on consumers' brain wave responses depending on the change of PC monitor's color. Therefore, this study investigated how brain waves changed when different background colors with gray patterns were presented through PC monitors. Six background colors with same tone of slightly low saturation were selected, including ivory, yellow, pink, green, blue and pure white as a base color. The brightness and characteristics of color used were analyzed using the luminance meter and color scales. Brain wave was measured by EEG measurement equipment. Brain wave measurement was carried out with 9 subjects at 6 points: F3, F4, T3, T4, O1, and O2. Stimuli were shown for 15 seconds each and black screens were displayed for 15 seconds between each stimulus. As results, the brain waves at O1 responded sensitively by different background colors, followed by F4 and T4. Brain index such as 'RT', 'RA', 'RG', 'RSA', and 'RAHB' showed significant differences depending on the background color at O1, whereas 'RST' differed at F4. Yellow and blue backgrounds pair was the only stimuli that showed significant differences in six brain indices mentioned. Yellow background had higher value of 'RG' at O1 and higher 'RST' at F4, indicating yellow background enhanced concentration. Blue background activated 'RT', 'RA', 'RSA', 'RAHB' at O1, meaning blue background induced calm and stable state.

1970년대 한국여성의 사회적 이미지와 메이크업 특성 연구 (A Study on the Social Image and Make-up Characteristics of Korean Women in 1970s)

  • 김영희;박혜원
    • 패션비즈니스
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    • 제12권4호
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    • pp.99-113
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    • 2008
  • The purpose of this study is to compare the social image and the external image of a Korean woman in 1970s and find out that the make-up can provide an important clue to examine the image of a woman in a given period. The research scope covered 10 top news of the daily newspapers and articles of women's magazines. A focus was made to an analysis on words and photos from them. The relationship of each image scale was examined by comparing the linguistic image scale and the visual image scale. The results were as follows : First, a frugal and tidy image. It was the look of our tidy, simple, traditional and classic woman. Second, an image of a cute and pure lady of refined manners. In 1970s, women were supposed to be 'a loving wife', a cultured female image with a faithful role of a 'wise mother' and a lady of refined manners as the best value. Third, a frivolous and decadent image. Double-faced image of a woman which included the women, who had to live as the lady of refined manners during the daytime and seductive woman during the night. Fourth, an image of a contemporary working woman. It was the image as a chic, confident and dignified working woman requested by the society of the times. Namely, it can be understood that women had a make-up of a soft and gorgeous tone as an expression of a will to keep a confident and female aspect in the course of working in the society by the women experiencing 1970s, the turbulent period. Consequently, it is possible to understand that the make-up was utilized as a means to express an ideal beauty of the time pursuant to the historical background or feature.

성상신경절 차단의 돌발성 난청에 대한 효과 (The Efficacy of Stellate Ganglion Block in the Treatment of Idiopathic Sudden Sensorineural Hearing Loss)

  • 남상범;윤덕미;이윤우;김정섭;남용택
    • The Korean Journal of Pain
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    • 제11권1호
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    • pp.30-35
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    • 1998
  • Background: Idiopathic sudden sensorineural hearing loss(ISSHL) has been generally defined as an abrupt loss of auditory acuity without precipitating factors. Since ISSHL was first described as a disease entity, numerous reports assessing a variety of treatment regimens have been published. But its etiology, pathogenesis, treatment, and prognosis are controversial at the present time. Stellate ganglion block(SGB) has been used for the treatment of ISSHL by vasodilatation and increased blood flow to the inner ear. Methods: We reviewed the records of 152 patients to investigate the efficacy of SGB for ISSHL. The control group was managed with medications such as hypaque, heparin, steroid, nicotinic acid, and vitamins. The SGB group was managed with SGB and the same medications. SGB was performed with 8 ml of 1.0% mepivacaine. The efficacy of treatment was evaluated by pure-tone average following therapy. The recovery of hearing was defined as Siegel's criteria I, II, or III. Results: The recovery rate of the SGB group was higher than that of the control group(61.5 vs. 42.9%, p<0.05). The recovery rate was higher in patients who were treated early, within 7 days from the onset of symptoms, especially in the SGB group(79.7%). And in the case that initial hearing loss was severe (>70dB), the SGB group had a higher recovery rate(64.2%) than the control group(42.5%). Conclusions: SGB is thought to be a useful therapy for ISSHL, especially in the patients who were treated soon after onset or whose initial hearing loss was severe.

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소아(小兒) 재발성(再發生) 삼출성(渗出性) 중이염(中耳炎)에서 가미형개연교탕(加味荊芥連翹湯)의 치료효과(治療效果)에 대한 임상적(臨床的) 연구(硏究) (A Clinical study on the Therapeutic effect of Kamihyunggyeyungyotang for Pediatric Recurrent Otitis Media with Effusion)

  • 양미라;진경선;이해자;권미원;박은정
    • 대한한방소아과학회지
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    • 제15권2호
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    • pp.87-100
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    • 2001
  • Otitis media with effusion(OME) is the second most common disease in childhood after upper respiratory tract infection. Antibiotic treatment and ventilation tube insertion are the common treatment. The emergence of drug-resistant streptococcus pneumoniae (DRSP) has implications for the primary care provider who treats acute otitis media(AOM) in children. OME need not be treated with antibiotics unless the effusion has been present for 3 to 4 months. Tympanostomy tubes are an effective treatment for both chronic OME and recurrent AOM. But the complications of tympanostomy tubes are serious Kamihyunggyeyungyotang is known to have antiinflmmatory and antiallergic effect. In this study, we investigated the clinical efficacy of the Kamihyunggyeyungyotang on recurrent otitis media with effusion prospectively by using pneumatoscopy, tympanogram, pure tone audiometry, and radiologic study. The patients who had treated by antibiotics was used as control. The statistical analysis was done by Mann-Whitney test and the significance was considered when the p value was less than 0.05. The general outcome was significantly higher in Kamihyunggyeyungyotang group than in antibiotic group. The recovery rate from grade 3 to 0 in pneumatoscopy was 42.5% but the control was 6%. Hearing gain was improved 71% and pnuematization was returned 70%.

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이명과 이충만감을 동반한 돌발성 난청 치험 1례 (A case of Korean Medical Treatment of sudden hearing loss with tinnitus, aural fullness)

  • 김경한;정현아
    • 혜화의학회지
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    • 제22권1호
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    • pp.193-200
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    • 2013
  • 고막 스테로이드 주사 치료에 잘 반응하지 않는 돌발성 난청 환자에게 신허(腎虛)로 인한 허롱(虛聾)으로 판단하고 삼일신기환(三一腎氣丸) 가미방(加味方)을 투여하고 수소양삼초경(手少陽三焦經)의 이문(耳門), 예풍(翳風), 외관(外關), 수태양소장경(手太陽小腸經)의 청궁(聽宮), 족소양담경(足少陽膽經)의 청회(聽會),완골(完骨),양백(陽白),협계(俠谿)를 선혈(選穴)하여 침(鍼)치료를 하였고 한약제를 이용한 증기치료를 시행하여 이명, 이충만감 등의 동반 증상의 호전을 확인하였으며 청력검사 상 경미하게 호전된 상태를 확인하였다. 이는 본 질환에 대한 한방치료의 유효성을 보여주는 것으로 생각된다.

Global Scaling 분석방법에 따른 기능적 자기공명영상의 비교 연구 (Comparative Study of Functional Magnetic Resonance Imaging by Global Scaling Analysis)

  • 유동수
    • Investigative Magnetic Resonance Imaging
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    • 제10권1호
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    • pp.26-31
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    • 2006
  • 목적 : 감각 및 운동기능에 대한 기능적 자기공명영상에서 데이터 분석 시 global scaling이 뇌 활성화 영상에 미치는 영향을 알아보고자 하였다. 대상 및 방법 : 신경학적 병력이 없는 정상 성인 피검자 4명을 대상으로 하였다. 운동기능은 오른쪽 상지를 구부렸다가 폈다가를 반복하는 운동을 시행하였고 청각기능은 1 KHz 순음자극을 시행하였다. 기능적 자기공명영상은 3.0T 자기공명영상기기(GE, Milwaukee, USA)에서 BOLD-EPI 기법을 사용하였고 데이터 분석은 SPM2를 사용하였다. 데이터 분석 시 움직임 보정, 통계적 유의 수준 등은 동일하게 한 상태에서 global scaling의 시행 전후의 뇌 활성화 영상을 획득하였다. 결과 : 오른쪽 상지운동에 대한 기능영상에서 global scaling 효과를 고려하지 않은 경우와 고려한 경우의 뇌 활성화 영상의 차이는 크지 않았다 (p<0.000001). 청각기능 검사에서는 global scaling 효과를 고려한 경우에서 고려하지 않은 경우에 비해 뇌 활성화 영상이 훨씬 크게 나타났다 (p<0.05). 결론 : 국소적 BOLD 신호의 변화가 작은 기능영상 검사에서는 데이터 분석 시 global scaling이 뇌 활성화 결과에 큰 영향을 미칠 수 있으므로 주의가 요구된다.

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