• 대한청각학회지
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• 제25권3호
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• pp.163-170
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• 2021

Cortical deafness is a clinical rarity whereby a patient is unresponsive to all types of sounds despite the preserved integrity of the peripheral hearing organs. In this study, we present a patient who suddenly lost his hearing following ischaemic infarcts in both temporal lobes with no other neurological deficits. The CT confirmed damage to the primary auditory cortex (Heschl's gyrus) of both hemispheres. Initially, the patient was unresponsive to all sounds, however, he regained some of the auditory abilities during 10 months follow up. Pure tone threshold improvement from complete deafness to the level of moderate hearing loss in the right ear and severe in the left was observed in pure tone audiometry. Otoacoustic emissions, auditory brainstem responses, and acoustic reflex findings showed normal results. The middle and late latency potential results confirmed objectively the improvement of the patient's hearing, however, after 10 months still, they were somewhat compromised on both sides. In speech audiometry, there was no comprehension of spoken words neither at 3 nor at 10 months. The absent mismatch negativity confirmed above mentioned comprehension deficit. The extensive auditory electrophysiological testing presented in this study contributes to the understanding of the neural and functional changes in cortical deafness. It presents the evolution of changes after ischaemic cerebrovascular event expressed as auditory evoked potentials starting from short through middle and long latency and ending with event-related potentials and supported by neuroimaging.

• 한국의학물리학회지:의학물리
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• 제11권1호
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• pp.19-27
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• 2000

본 연구에서는 평탄한 지면 위의 도로 교통소음의 전파특성을 해석하고자 점음원과 쌍극자음원을 모델로 사용하였으며, 연속 지표면 음향임피던스에 대한 초과감쇠를 실험으로 조사하였다 연구결과 수음점이 지표면 가까이 있을 때, 도로 교통소음의 전파특성은 소음 전파경로 상의 지표면 음향임피던스에 크게 영향을 받는 것을 확인하였다. 또한 진행 차량으로부터 측정한 등가에너지레벨의 거리별 감쇠값을 이용하여 등음압곡선을 해석하였다 그리고 도로 교통소음이 인체에 미치는 영향을 조사하고자 초저주파 소음에 대한 응답특성, 깊은 수면율과 잠을 깨는 비율에 대한 연속적인 교통소음의 .효과, 연령과 소음폭로등 다양한 변수에 대하여 청력손실과 청감민감도 변화 등을 고찰하였다 해석결과 과도한 소음은 일시적 청력손실의 원인이며, 폭로가 길어지거나 강력하면 영구적 청력손실의 원인이 될 수 있음을 확인하였다.

• 수산해양교육연구
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• 제25권6호
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• pp.1381-1388
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• 2013

In order to improve the availability of underwater sound by the fundamental data on the hearing ability, the auditory thresholds for the bambooleaf wrasse pseudolabrus japonicus were determined at 80Hz, 100Hz, 200Hz, 300Hz, 500Hz and 800Hz by heartbeat conditioning method using pure tones coupled with a delayed electric shock. The audible range of the bambooleaf wrasse extended from 80Hz to 800Hz with the best sensitivity around 100Hz and 200Hz. In addition, the auditory thresholds over 300Hz increased rapidly. The mean auditory thresholds of the bambooleaf wrasse at the test frequencies, 80Hz, 100Hz, 200Hz, 300Hz, 500Hz and 800Hz were 100dB, 95.1dB, 94.8dB, 109dB, 121dB and 125dB, respectively. Auditory critical ratios for the bambooleaf wrasse were measured using masking stimuli with the spectrum level range of about 70, 74, 78dB (0dB re $1{\mu}Pa/\sqrt{Hz}$). According to white noise level, the auditory thresholds increased as compared with thresholds in a quiet background noise. The Auditory masking by the white noise spectrum level was stared over about 60dB within 80~300Hz. Critical ratios to be measured at frequencies from 80Hz to 300Hz were minimum 33dB and maximum 39dB.

• 수산해양기술연구
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• 제48권4호
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• pp.479-486
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• 2012

In order to obtain the fundamental data about the behavior of conger by underwater audible sound, this experiment was carried out to investigate the hearing ability of Conger eel Conger myriaster which was in the coast of Jeju Island by heartbeat conditioning method using pure tones coupled with a delayed electric shock. The audible range of conger eel extended from 50Hz to 300Hz with a peak sensitivity at 80Hz including less sensitivity over 200Hz. The mean auditory thresholds of conger eel at the frequencies of 50Hz, 80Hz, 100Hz, 200Hz and 300Hz were 105dB, 92dB, 96dB, 128dB and 140dB, respectively. The positive response of conger eel was not evident after the sound projection of over 200Hz. At the results, the sensitive frequency range of conger eel is narrow in spite of swim bladder. Auditory masking was determined for Conger eel by using masking stimuli with the spectrum level range of about 60~70dB (0dB re $1{\mu}Pa/\sqrt{Hz}$). According to white noise level, the auditory thresholds increased as compared with thresholds in a quiet background noise including critical ratio at 68dB of white noise from minimum 26dB to maximum 30dB at test frequencies of 80Hz and 100Hz. The noise spectrum level at the start of masking was distributed at the range of about 68dB within 80~100Hz.

• 수산해양기술연구
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• 제36권4호
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• pp.314-321
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• 2000

제주 연안역에 있어서 수중 가청 저주파수음을 이용한 자원관리형 어업, 또한 어장에서 음향을 이용해서 어류를 유집할 수 있는 음향 어법 개발의 기초 자료를 얻기 위해 자리돔을 대상으로 측정 주파수 80∼800Hz의 수중음과 7V의 직류 전원의 전기 자극을 이용하여 육상 수조에서 조건 학습을 시킨 후 측정 주파수와 음압을 임의로 변화시켜 가면서 실험어 심전도를 도출하여 심박 간격의 변화로부터 청각 문턱치 곡선과 함께 백색 잡음에 의한 청각 임계비 및 청각 능력 지수를 조사한 결과는 다음과 같다. 자리돔의 청각 임계비는 측정 주파수 80Hz, 100Hz, 200Hz, 300Hz, 500Hz, 800Hz에서 음압이 각각 31dB, 35dB, 33dB, 23dB, 34dB, 41dB이고, 음압 73dB, 78dB, 83dB의 3단계 백색 잡음을 방성하였을 때 청각 문턱치는 백색 잡음이 없을 때보다 높게 나타나며 마스킹 효과가 측정 주파수 100Hz, 200Hz, 300Hz에서 보다 뚜렷하게 나타났다. 마스킹 현상은 약 음압 60∼65dB의 백색 잡음 레벨에서 나타나기 시작하였으나, 측정주파수 200Hz에서는 음압 57dB 이상에서, 측정주파수 800Hz에서는 73dB 이상의 백색 잡음 레벨에서 나타났으며 주파수 측정 주파수 300Hz에서 신호음을 인식하기 위해서는 대략 음압 88dB 이상과 함께 백색 잡음 레벨보다 음압 23dB 이상 높은 신호음이 요구되었으며 배경 잡음시 자리돔의 청각능력지수는 81로 나타났다.

• 수산해양교육연구
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• 제25권2호
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• pp.341-348
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• 2013

The auditory thresholds for 7 specimens of the sharp toothed eel Muraensox cinerus were measured at 5 frequencies by heartbeat conditioning method using pure tones coupled with a delayed electric shock. The audible range of the sharp toothed eel extended from 80Hz to 300Hz with the best sensitivity around 80Hz and 100Hz. In addition, the auditory thresholds over 200Hz increased rapidly. The mean auditory thresholds of the sharp toothed eel at the test frequencies of 80Hz, 100Hz, 200Hz and 300Hz were 87dB, 86dB, 105dB and 126dB, respectively. Auditory masking was determined for the sharp toothed eel by using masking stimuli with the spectrum level range of about 70~80dB (0dB re $1{\mu}Pa/\sqrt{Hz}$). According to white noise level, the auditory thresholds increased as compared with thresholds in a quiet background noise. The noise spectrum level at the start of masking was distributed at the range of about 64dB within 80~100Hz. Critical ratio ranged from minimum 24dB to maximum 40dB at test frequencies of 80Hz~200Hz.

• 대한의용생체공학회:의공학회지
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• 제19권6호
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• pp.623-629
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• 1998

일반전화기로 통화가 어려운 난청인에게 충분한 수신음량을 공급하기 위해서는 큰 증폭이 필요한데 큰 증폭은 하울링(howling)을 발생시킨다. 본 연구에서는 소리를 크게 증폭하면서 하울링을 억제하는 새로운 방법을 제안하고 이를 적용한 보청전화기를 개발하여 평가하였다. 통화수신 음성은 3개의 밴드로 나뉘어져 각각 독립적으로 증폭되어 난청인의 청력에 알맞게 적합(fitting)된다. 수신음성의 주파수는 카운터에 의하여 시간영역에서 모니터링되는데 카운터부는 비교기를 이용하여 수신 정현파를 구형파로 변환시키고 시간영역에서 구형파 수를 계수함으로써 주파수를 분석하여 하울링이 발행하는가를 판단한다. 전화기는 송수화기 구조가 결정되어 있고 송수신 주파수 범위가 제한되어 있으므로 하울링 또한 일정주파수 범위내 발생하게 된다. 계수기에 의해 하울링이 검출되면 중앙제어부는 해당대역의 증폭도를 빠르게 낮춤으로써 하울링을 억제시킨다. 시험결과 개발전화기는 하울링 없이 40dB 이상 증폭할 수 있으며 중고도 난청인의 어음인지력이 1음절어의 경우는 20%에서 60.8%로, 2음절어의 경우는 28.9%에서 78%로 향상되는 탁월한 개선 효과를 보였다.

• Journal of Preventive Medicine and Public Health
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• 제29권2호
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• pp.239-254
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• 1996

Health services on industrial noisy environment have been provided only for noise-induced hearing loss management until now. But gradually, modem diseases and death have come to be related to stress and mental health deeply, therefore noise-induced mental disorder, like a stress became very important. In this point, the purpose of this study was to analyze the relationship between noise exposure level in worksite and workers' stress symptoms. This study included a survey of 786 manual workers selected from 89 worksites in 21 factories in Puchon. The results were as follows: 1. For demographic characteristics, most of the workers were males(80.8%), the $20\sim29years$ old were 34.5% and those who graduated from high school were 65.3%. The workers whose monthly income ranged from 100,000 to 800,000 won were 37.5% and who have a religion were 47.9%. 2. For occupational characteristics, workers who had worked $1\sim5$ years in the factories were 33.0%. Those who were much for them workload were 43.9% and who worked more than 8 hours a day were 73.9%. Those who were disatisfied with their job and pay were 31.9% and 50.6%. The workers who responsed ventilation condition of their worksites were bad were 51.9% and the dissatisfed with working environment of their worksites were 45.9%. 3. Workers who were suffering from tinnitus were 53.3% and those who perceived hearing loss were 50.1%. Persons who reported they always wore earplugs at work were 35.4%. Those who felt earplugs bigger than their ears were 30.6% and those who experienced eardiseases caused by earplugs were 25.6%. 4. For the noise exposure level in worksite, workers who were exposed to $80\sim90dB$ were 30.3%, $90\sim100dB$ were 26.4% and $50\sim70dB$ were 19.2%. 5. Workers' stress symptoms were significantly related to marital status and their monthly income(p<0.05). Workers who were single and had lower monthly income showed higher PSI (Psychiatric Symptom Index) scores than those who were married and had higher monthly income. Higher PSI scores were also significantly related to $1\sim2$ days hight-work per week, much for them workload, dissatisfaction with their job, and bad relationship with their bosses and coworkers. 6. Higher PSI scores were significantly related to severe tinnitus and perceived hearing losso(p<0.001). Workers who felt the earplugs they use did not fit their ears showed significantly higher PSI scores(p<0.01). Workers who reported that they did not feel they need earplugs showed. significantly higher PSI scores (p<0.05). Increased experience of eardisease caused by earplugs that did not fit were also significantly related to higher PSI scores(p<0.01). 7. The higher noise exposure level in worksite from 80dB was, the more severe stress symptoms including PSI subparts were reported; Anxiety, Anger, Depression, and Cognitive disorder(p<0.001). 5. According to the results of stepwise multiple regression analysis, factors affecting workers' PSI scores were perceived hearing loss$(R^2=0.160)$, noise exposure level in worksite$(R^2=0.110)$, realtionship with coworkers, amount of workload, monthly income and relationship with bosses orderly and the total $R^2$ of this 6 factors was 0.371. 9. The most significant factors that have impact on manual workers' stress symptoms were perceived hearing loss and noise exposure level in worksite, especially noise exposure level in the worksite was the most affective factor on the depression symptom.

• Journal of Preventive Medicine and Public Health
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• 제17권1호
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• pp.57-63
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• 1984

소음작업(騷音作業) 근로자(勤勞者)들의 이보호구장용(耳保護具裝用)의 여부(與否)에 따른 청력보존(聽力保存)의 효과(效果)를 관찰하기 위해 $16{\sim}24$세(歲)사이의 건강(健康)한 여성(女性) 기직공(機織工) 1,237명을 대상(對象)으로 이전(耳栓)을 장용(裝用)하고 있는 자(者)들을 실험군(實驗群), 하지 않고 있는 자(者)들을 대조군(對照群)으로 하고, 1982년(年) 4월에서 1983년(年) 1월(月)사이에 실시된 특수건강진단(特殊健康診斷) 결과지(結果紙)에서 그들의 근속년수(勤續年數), 4,000Hz에서 AA-30A, RION Japon청력계(聽力計)로 측정된 최소가청치(最小可聽値)를 조사 비교하였다. 최소가청치(最小可聽値) 40 dB초과의 경우는 대조군(對照群)의 좌이(左耳) 44.6% 우이(右耳) 40.9%, 실험군(實驗群)의 좌이(左耳) 8.0% 우이(右耳) 6.6%였고 근속년수(勤續年數)가 길수록 대조군(對照群)과 실험군(實驗群) 모두에서 증가(增加)하였다. 최소가청치(最小可聽値)의 분포(分布)는 좌우이(左右耳)사이에 유의한 차(差)를 실험군(實,驗群)과 대조군(對照群) 모두에서 볼 수 없었으나, 대조군(對照群)과 실험군(實驗群)간에는 좌우이(左右耳) 모두에서 통계적으로 유의한 차(差)를 나타내었다(p<0.005). 대조군(對照群)과 실험군(實驗群)사이에 최소가청치(最小可聽値) 40 dB초과에 속하는 경우의 차이(差異)는 근속년수(勤續年數) 1년이하, 3년, 5년, 5년 초과에 따라 각각 좌이(左耳) 26.8%, 38.0%, 43.3%, 45.4%, 우이(右耳) 29.5%, 31.6%, 38.9%, 36.5%로 증가(增加)하는 경향이었다.

• 수산해양기술연구
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• 제53권1호
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• pp.19-40
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• 2017

A scientific and objective sound exposure criterion for underwater sound damage on fish has been required since there has been many disputes between an underwater sound maker and a fish damage receiver. The existing criteria are still incomplete scientifically owing to a degree of variability of underwater sounds, diversity of fish hearing sensitivity and damage types, etc. This study reviews existing studies on a hearing mechanism of fish species, manmade underwater sound characteristics and sound exposure assessment parameters, and recent sound exposure criteria. A governing equation for damage coverage estimation and damage coverage dependency on sound source level, ambient noise and transmission loss are also reviewed and interpreted based on sound exposure environments. The foreign and Korean (National Environmental Dispute Medication Commission) criteria are reviewed and compared based on scientific aspects. In addition, the deficit and limit of Korean criteria are presented. The objective of this study is to give a direction for related researches and legislation of sound exposure criteria on fish.