• Title/Summary/Keyword: auditory function

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The Effect of Hypnotics on Sleep Quality and Cognitive Function in Patients with Brain Tumors

  • Chang, Min Cheol;Chun, Min Ho
    • Journal of Korean Neurosurgical Society
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    • v.63 no.2
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    • pp.261-267
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    • 2020
  • Objective : We investigated the effect of hypnotics on sleep quality, cognitive function, and depressive mood in patients with insomnia following brain tumor resection. Methods : From patients who underwent brain tumor resection, we recruited 10 patients with insomnia who received hypnotics for more than 1 week during a 3-week follow-up period (insomnia group). We also recruited 12 control patients with brain tumors but without insomnia (control group). We evaluated sleep quality at baseline and 3 weeks later using the Insomnia Severity Index (ISI), the Pittsburgh Sleep Quality Index (PSQI), the Stanford Sleepiness Scale (SSS), and the Epworth Sleepiness Scale (ESS) and investigated cognitive function and depression using the Computerized Neuropsychological Test and the Beck Depression Inventory (BDI). Results : At baseline, SSS, ISI, PSQI, and BDI scores were significantly higher and visual continuous performance test (VCPT) and auditory continuous performance test (ACPT) scores were significantly lower in the insomnia than in the control group. Three weeks later, the patients who had received hypnotics had significantly higher ISI, PSQI, ESS, VCPT, ACPT, visual span forward and backward, and visual recognition test scores, and significantly lower BDI scores. Conclusion : Quality of sleep in patients with insomnia following brain tumor resection was initially poor but improved significantly after taking hypnotic medication. Further, the hypnotic medications appeared to contribute to the amelioration of cognitive impairments and depressive moods in patients who previously underwent brain tumor resection. We thus recommend the use of hypnotics for patients with brain tumors with insomnia.

Effect of speech therapy of patient with Velopharyngeal incompetence using CPAP (CPAP를 활용한 비인강폐쇄부전 환자의 언어치료 효과)

  • Oh Yoo-Kyung;Lee Yong-keun;Park Rae-Yon;Kim In-Soo;Shin Hyo-Keun;Kim Hyun-Gi
    • Korean Journal of Cleft Lip And Palate
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    • v.8 no.1
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    • pp.39-44
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    • 2005
  • Velopharyngeal incompetence(VPI) is that soft palate and muscle of posterolateral pharyngeal wall can not close velopharyngeal port properly. Thing that prior to treatment for patient with VPI is to evaluation about nasopharyngeal closing function. This data is important for making a treatment plan and assesment of treatment effect to improve nasopharyngeal closing function. There are two ways of VPI assessment. The one is subjective method by auditory finding, the other is objective method by using equipment for language test. Using only subjective way is not adequate for evaluation of VPI because of low trust, so doing both two methods simultaneously help to make a diagnosis and assessment exactly. CPAP is effective method to treat hypernasality. This new treatment technique intensify oropharyngeal muscle for nasopharyngeal closing by direct resistance training. Becase conventional treatments have limitation, so many research about treatment effectiveness of CPAP are being studied. This study aims that we compare our result from Korean VPI patients with result about treatment effect in other advanced country, to make CPAP Treatment Questionares and to find ways that improve oropharyngeal closing function an[1 maximally increase language treatment effect.

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A DOUBLE-BLIND CLINICAL TRIAL OF PANAX GINSENG IN AGED SUBJECTS (이중 맹검법을 이용한 홍삼의 노인병 치료에 대한 임상연구)

  • Fulder Stephen;Kataria Mohan;Smith Beryl Gethyn
    • Proceedings of the Ginseng society Conference
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    • 1984.09a
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    • pp.215-223
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    • 1984
  • Panax ginseng has often been suggested as a geriatric restorative. This study is a double blind crossover trial to test whether ginseng can improve function in subjects with the depression and reduced abilities associated with senescence. 49 screened subjects were given 1500 mg Korean Red ginseng and identical placebo each for ten days, with a washout period in between the dosages. Standard tests of mental function, neuromuscular reflexes, responsiveness, mood and well being were used. The subjects were somewhat better at the co-ordination and speed test ('number copying') but tests of concentration and memory ('Concentration', 'Paired Association', 'Digit Span' and 'Object Learning') gave equivocal results. There were small improvements in mood and well being ('Life Satisfaction' and 'General Health Questionnaire') while the subjects indicated increased energy, alertness and less sleep, but also less happiness on the daily analogue scales. The major result was a highly significant improvement in reactivity, speed and co-oridnation at the tapping test, and the visual, auditory and disjunctive reaction timer. These are the most objective and accurate tests used in this trial. It is therefore concluded that ginseng can increase function in senile individuals. This effect is most easily visualisable in objective psychophysical tests, rather than the more subjective memory and concentration tests.

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A study on the simplification of HRTF within high frequency region (고역 주파수 영역에서 HRTF의 간략화에 관한 연구)

  • Lee, Chai-Bong
    • Journal of the Institute of Convergence Signal Processing
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    • v.12 no.1
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    • pp.1-6
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    • 2011
  • In this study, we investigated the effect of the simplification for high frequency region in Head-Related Transfer Function(HRTF) on the sound localization. For this purpose, HRTF was measured and analyzed. The result in the HRTF frequency characteristic of the back sound source showed that the decrease revel of high frequency was smaller than that of low frequency region, which means the possibility of simplification in the high frequency region. Simplification was performed by flattening of the high frequency amplitude characteristics with the insertion of the low-pass filter, whose cutoff frequency is given by boundary frequency. Auditory experiments were performed to evaluate the simplified HRTF. The result showed that direction perception was not influenced by the simplification of the frequency characteristics of HRTF for the error of sound localization. The rate of confusion for the front and back was not affected by the simplification of the frequency characteristics over 8kHz of HRTF. Finally, we made it clear that the sound localization was not affected by the simplification of frequency characteristics of HRTF over 8kHz.

Characteristics of Superconductive Pb shield for a Whole Head MEG System (헬멧형 뇌자도 장치로의 활용을 위한 Pb 초전도 차폐의 특성)

  • Yu, K.K.;Kim, K.;Lee, Y.H.;Kwon, H.
    • Progress in Superconductivity
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    • v.11 no.1
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    • pp.30-35
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    • 2009
  • We have investigated the characteristics of a superconductive Pb shield for hemispherical shape and plate to improving signal-to-noise ratio(SNR) of biomagnetism. We measured the shielding factor for the position of helmet shape Pb and for changing the distance from Pb surface. To make a uniform magnetic field, a $1.5m{\times}1.5m$ set of the helmholtz coils activated at several frequencies. The shielding factor of hemispherical shape Pb was from 20 to 57 dB and of Pb plate was about $6{\sim}26dB$ as a function of distance from the lead surface. The shielding factor was rapidly reduced as increasing the distance from Pb surface. The white noise of superconductive quantum interference device(SQUID) with a superconductive shield was about $12fT/Hz^{1/2}$ at 1 Hz, $7fT/Hz^{1/2}$ at 100 Hz. The white noise was more increased about two times than conventional SQUID system without Pb shielding. An auditory signal was measured by first order gradiometer and magnetometer with Pb superconductive shield and compared the SNR. The SQUID system with Pb shield had better performance at low frequency noise level.

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Speech Outcomes of Submucous Cleft Palate Children With Double Opposing Z-Plasty Operation (Double Opposing Z-Plasty 수술 후의 점막하 구개열 아동의 말소리 개선에 관한 연구)

  • 최홍식;홍진희;김정홍;최성희;최재남;남지인
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.13 no.2
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    • pp.180-187
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    • 2002
  • Background and Objectives : The operation Double Opposing Z-Plasty, has been used for improving VPI function in the submucous cleft palate. However, few reports on the effects of the speech change were presented. The purpose of this study is to compare the difference of nasality and nasalance, parents satisfaction between before and after this operation and to consider how much improvement in speech. Materials and Methods : Ten submucous cleft palate children who underwent double opposing Z-plasty were analyzed. We retrospectively studied nasalance, auditory perception (nasality) with hypernasality, patients satisfaction, speech evaluation by using charts review, video tape, telephone interview. Results : In 8 patients of 10 submucous cleft palate, hypernasality reduced and speech intelligibility was higher and mean 0.35 point was increased in the velum length after operation. After operation, nasality was improved (2.0 point) and level of nasal emission decreased. Regarding satisfaction of this operation, scale was mean 2.8 (5 point-scale) : 8 parents were satisfied in the resonance, 3 parents were satisfied articulation. The reason of dissatisfaction was mostly compensatory articulation. Conclusion : To improve of speech in the submucous cleft palate, speech therapy afterthis operation as well as successful surgery should be considered.

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Boundary Element Analysis for Individual Acoustic Responses in Ear Canal of Korean Adults (한국인 성인남자의 개별 이도내 음향응답에 대한 경계요소 해석)

  • Lee, Dooho;Ahn, Tae-Soo;Son, Young-Seok;Shin, Jeeyoung
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.23 no.3
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    • pp.226-233
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    • 2013
  • Individual differences in head-related transfer functions(HRTFs) were calculated using boundary element(BE) models for three Korean adults. The BE models for the individuals were developed from the computerized tomography(CT) images of the individuals. The BE models were composed of the head, pinna, and ear canal. The frequency-dependent impedance boundary conditions were imposed on the skin, hair, and tympanic membrane. The HRTFs calculated from the individual BE models showed large difference above 2 kHz in magnitude and in the locations of peaks and valleys of the frequency spectrums, which should be considered in virtual auditory sound field. The identified individual differences in the HRTFs demonstrate that the developed BE models can be utilized successfully in order to obtain the HRTFs information of individuals.

Ambulatory Anesthesia Management of the Patient with Adrenoleukodystrophy for Dental Treatment -A Case Report- (부신백질이영양증 환자의 치과치료를 위한 외래전신마취 -증례 보고-)

  • Seo, Kwang-Suk;Bak, So-Yeon;Shin, Teo-Jeon;Kim, Hyun-Jeong
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.10 no.1
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    • pp.45-49
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    • 2010
  • Adrenoleukodystrophy (ALD) is a rare X-linked genetic disorder associated with various central nervous system problems and adrenal insufficiency. It is common in childhood and symptoms include loss of previously acquired neurological abilities, seizures, ataxia, Addison's disease as well as degeneration of visual and auditory function. These children frequently require anesthesia during imagining procedure such as MRI or during some surgical procedures like gastrostomy. There is special need for careful management because of numerous anesthetic challenges like difficulty in cooperation, seizure disorders, life-threatening airway obstruction, copious oral secretion and possibility of aspiration. In addition, adrenal involvement and hypofunction must be considered for safe anesthesia management. We report a successful anesthetic management in a patient with ALD for dental procedures.

Design and Implementation of Learning And Testing System using Animation Technique based on Web (웹기반에서 애니메이션 기법을 이용한 학습평가 시스템 설계 및 구현)

  • 원미해;현영숙;변옥남;김창수
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2001.05a
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    • pp.255-259
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    • 2001
  • Most of education sites which are related to practical computer lecture are almost teaming and testing based on character-contents. In this thesis, commercial high school needs the use of new application programs which appear quickly. So as teacher and students can contact with each other in classroom, we implemented self-learning which has text, visual and auditory function with the use of animation technology. Not only quantity testing which has been used for the purpose of selection and arrangement, but also we designed and implemented quality testing which consider the level and individuality of student.

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Speech perception difficulties and their associated cognitive functions in older adults (노년층의 말소리 지각 능력 및 관련 인지적 변인)

  • Lee, Soo Jung;Kim, HyangHee
    • Phonetics and Speech Sciences
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    • v.8 no.1
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    • pp.63-69
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    • 2016
  • The aims of the present study are two-fold: 1) to explore differences on speech perception between younger and older adults according to noise conditions; and 2) to investigate which cognitive domains are correlated with speech perception. Data were acquired from 15 younger adults and 15 older adults. Sentence recognition test was conducted in four noise conditions(i.e., in-quiet, +5 dB SNR, 0 dB SNR, -5 dB SNR). All participants completed auditory and cognitive assessment. Upon controlling for hearing thresholds, the older group revealed significantly poorer performance compared to the younger adults only under the high noise condition at -5 dB SNR. For older group, performance on Seoul Verbal Learning Test(immediate recall) was significantly correlated with speech perception performance, upon controlling for hearing thresholds. In older adults, working memory and verbal short-term memory are the best predictors of speech-in-noise perception. The current study suggests that consideration of cognitive function for older adults in speech perception assessment is necessary due to its adverse effect on speech perception under background noise.