• 대한임상검사과학회지
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• 제38권3호
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• pp.218-223
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• 2006

Sensorineural hearing loss is frequently found in patients with chronic renal failure (CRF). There have been many efforts to elucidate the etiologic factors of hearing loss in patients with CRF. However, there was not any clear identified cause of hearing loss. This study was undertaken to evaluate the activity of mitochondrial respiratory chain (MRC) in CRF patients with hearing impairment. To determine MRC activity, peripheral blood cells were obtained from CRF patients with hearing impairment receiving dialysis and normal subjects without any hearing problems. MRC activity of complex I and complex III was measured by the Trounces method. In MRC activities between the normal subjects group and CRF patients with hearing problems, the complex I and III activities of CRF patients with hearing problems were 63% and 85% compared with normal subjects (p<0.01). These results suggest that the activity of MRC may be implicated in the underlying mechanism of the hearing impairment in CRF patients, through mitochondrial DNA mutations at MRC complex I region with a decrement of MRC activity.

• 가정과삶의질연구
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• 제30권6호
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• pp.85-101
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• 2012

This study was conducted to investigate the effect of group music therapy using the traditional drum on the; social adjustment, self-image, and emotional adjustment, of children with hearing impairment. I participated in this group music therapy using the traditional drum with 7 children with hearing impairment for 3 days a week for 6 weeks(including holidays), and each session was 50 minutes long. The evaluation form of this study is a social-emotional development measurement sheet of Meadow-Kendall, which the children's teacher distributed to the children both pre- and post-examination. With these results, the researcher carried out Window SPSS 19 Version and searched for the experiment's effect of measurement cause (I am not sure what this means.) through paired t-test to identify the experiment's effects (social adjustment, self-image, emotional adjustment) as a result of group music therapy using the traditional drum for children with hearing impairment. This study arrived at the following conclusions. First, after I participated in the group music therapy using the traditional drum, the result of the comparisons of the pre-to-post average for social adjustment showed the statistical significance level of the 0.01 standard. Therefore, it was found that the group music therapy using the traditional drum had a positive effect on the social adjustment of children with hearing Impairment. Second, after I participated in the group music therapy using the traditional drum, the result of the comparisons of the pre-to-post average for self-image development showed the statistical significance level of the 0.01 standard. Therefore, the group music therapy using the traditional drum had a positive effect on the self-image of children with hearing impairment. Third, after I participated in the group music therapy using the traditional drum, the result of the comparisons of the pre-to-post average for emotional adjustment showed the statistical significance level of the 0.01 standard. Therefore, the group music therapy using the traditional drum had a positive effect on the emotional adjustment of children with hearing impairment.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1998년도 추계학술대회
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• pp.171-172
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• 1998

Recent development of digital technology has offered new possibilities for noticeable advances of hearing aids. Using the digital technology, it is possible to equip hearing aids with powerful features such as multi-channel nonlinear compression amplification and the feedback cancellation, these are often difficult to implement with analog circuits. Still, speech in noise is one of the major complaints of not only hearing impaired persons but also normal listeners. This paper describes speech intelligibility in background noise for both normal and hearing impaired listeners. Speech enhancement algorithms were implemented and compared for normal and sensorineural hearing impairment listeners.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2010년도 춘계학술대회
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• pp.437-440
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• 2010

현대사회에서 사람들은 직업을 통해 생활에 필요한 재화를 획득하고 나아가 자기 자신과 공동체에 대한 의미와 보람을 발견한다. 장애를 지닌 사람에게도 직업은 동일한 의미를 부여하며, 직업을 통해 완전한 사회구성원으로서 살아가게 된다. 청각장애인의 경우 짧은 근속기간과 높은 이직률이 문제로 지적되며, 매우 불안정한 고용상태를 보이는 것으로 나타나고 있어 근본적인 대책마련의 일환으로 청각장애인의 전반적인 심리적 특성과 직업적 흥미나 적성 등을 측정하는 직업평가가 필요하다. 본 연구에서는 청각장애인의 직업평가를 위해 웹을 지원하는 청각장애인용 그림 직업흥미검사를 설계하고 구현한다. 구현 대상은 한국장애인고용공단 고용개발원에서 개발한 청각장애인용 그림 직업흥미검사를 이용한다. 이 검사는 청각장애인을 대상으로 실시하기 때문에 동일한 장소에서 피검자와 검사자, 수화통역사가 검사를 수행하므로 검사에 많은 제약이 따른다. 따라서 인터넷을 이용한 그림 직업흥미검사를 제공하여 시간과 장소의 제약 없이 검사를 수행할 수 있어 평가의 용이성과 접근성을 보장한다.

• 대한의용생체공학회:의공학회지
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• 제19권1호
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• pp.59-68
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• 1998

디지털 보청기는 기존의 아날로그 보청기에 비하여 많은 장점이 있다. 디지털 신호처리 프로세서의 발달과 더불어 최근에 다양한 디지털 보청 알고리즘과 완전한 디지털 보청기가 선보였다. 디지털 보청기의 알고리즘을 개발하거나 디지털 보청기를 새로이 평가하려는 사람들에게 난청자를 대상으로 하는 임상연구는 필수적으로 거쳐야 하는 과정이다. 그러나 이러한 임상연구는 실제 난청자를 대상으로 하여야 하기 때문에 난청자와 검사자 간에 통상적으로 많은 시간과 노력이 필요하며 원활한 의사 소통이 때로는 어려울 수 있다. 왜냐하면 난청자들의 연령이 너무 어리거나 많아서 의사소통에 지장을 주거나 검사자가 필요로 하는 시간에 비슷한 난청 유형을 가진 대상자를 모으기 어렵다. 본고에서는 임상연구를 보조하여 디지털 보청기 또는 알고리즘이 개발되기까지 수행되어야 할 많은 임상연구의 결과를 예측하고 평가할 수 있는 디지털 난청 시뮬레이션 방법을 제안하고, 실제 환자의 데이터를 사용한 시뮬레이션과 그에 대한 임상 실험을 통하여 시스템의 성능을 평가하였다. 실험 결과, 정상인으로부터 모델링된 환자 데이터와 매우 유사한 측정 결과를 얻어냄으로써, 제안된 시스템이 목적하고자 하는 바를 이룰 수 있음을 검증하였다. 또한 난청 시뮬레이터의 목적인 디지털 보청기 알고리즘을 개발하기 위한 평가 툴로서, 개발 초기에 다양한 디지털 보청기용 알고리즘을 구현하여 실제 난청 시뮬레이터와 연계하여 실험함으로써 보청기 알고리즘의 평가 및 새로운 보청기 알고리즘을 개발하고 평가하거나 향후 난청자를 대상으로 하는 임상연구에서 사용할 수 있는 유용성을 입증하였다.로 우유 교육 프로그램이 향후보다 체계적이고 확대되어 지속적으로 실시된다면, 우유에 대한 의미는 물론 인식 그리고 지식 정도에 있어 효과적인 결과를 유도할 수 있을 것이다.니하였다. 6) Dibutyryl cyclic AMP 및 8-bromo cyclic GMP 모두 혈소판응집률(血小板凝集率)을 감소시켰고, 후자(後者)는 전자(前者)에 비(比)하여 월등(越等)히 현저(顯著)하였다. sodium nitroprusside에 의한 항응집률(抗凝集率)은 methylene blue 전처치(前處置)에 의하여 길항(拮抗)되었으나, bovine hemoglobin전처치에 의하여는 영향(影響)을 받지 아니하였다. 이상(以上)의 성적(成績)을 종합(綜合)하면, 뇌졸중증(腦卒中症)때, 특히 뇌혈전증(腦血栓症)의 응급치료시(應急治療時) sodium nitroprusside의 응용(應用)이 가능(可能)하다고 사료(思料)되며, 이에 대(對)하여 임상적(臨床的) 치료(治療)가 기대되는 바이다.다시 상승(上昇)하는 경향(傾向)이었다. 중성지질(中性脂質) 중(中) climacteric rise 및 숙도(熟度)와 관련하여 변화(變化)한 것은 diglyceride 및 sterol ester의 2종(種)이었으며 glyceride가 중성지질(中性脂質) 전량(全量)의 변화(變化)와 동일(同一)한 경향(傾向)인데 반(反)하여 sterol ester은 climactric onset까지 증가(增加)하다가 기후(其後) 감소(減少)하였다. 인지질(燐脂質)도 저장기간(貯藏期間) 중(中) 처리구(處理區)에 관계(關係)없이 다같이 감소(減少)되었는데, 그 정도(程度)

• 대한음성학회:학술대회논문집
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• 대한음성학회 2003년도 10월 학술대회지
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• pp.129-132
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• 2003

The purpose of this study was to investigate the fundamental frequency(Fo) of voice signal, the first to the third(F1-F3), and duration in children with hearing impairment. Each subject made a recording of sustained /i/ and /a/, four VbV as and four VsV. The Praat 4.1.6. was used for analysis. The results of this study were as follows: First, F0 of children with hearing impairment were higher than normal children. Second, /a/ vowel was showed that F1, F2 and duration were higher than normal children. Third, /i/ vowel was showed that F1 and duration were higher than normal children. However, F2 was lower than normal children. Therapeutic implications have been drawn.

• 대한구순구개열학회지
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• 제10권1호
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• pp.33-38
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• 2007

Team approach for the management of cleft lip & palate patients is very important. Plastic surgeon, oral-maxillofacial surgeon, orthodontist, otolaryngologist, and speech therapist should be included in the team. Main role of the ENT surgeon may be variable and is up to the team characteristics. Main topics of ENT surgeons' interesting fields are evaluation and management of hearing impairment due to SOM, voice disorder, and velopharyngeal incompetency due to submucous cleft palate & still remained VPI after curative palatoplasty. Basic review of anatomy & physiology related with otolaryngologic aspect of velopharyngeal system was done. Diseases related with hyponasality as well as hypernasality were discussed. Diagnostic and therapeutic methods were discussed. Proper management of hearing impairment and speech disorders are important.

• 대한음성학회지:말소리
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• 제61호
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• pp.1-14
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• 2007

The purpose of this study was to analyze the relationship between segmental correctness and speech intelligibility in adults with hearing impairment. Segmental correctness was measured by percentage of correct vowels(PCV) and percentage of correct consonants(PCC). The results were shown as follows: First, PCV and PCC could predict speech intelligibility with statistical significance. Second, in consonant classes divided by place and manner of articulation, the PCC of plosives and alveolar sounds were significant predicting variables in each group ($R^{2}=50%;\;59%$). According to this study, the importance of segmental correctness on speech intelligibility of adults with hearing impairment was confirmed. Also correctness of plosive sounds in manner and alveolar sounds in place were significant factors to speech intelligibility.

• Journal of Yeungnam Medical Science
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• 제40권4호
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• pp.402-411
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• 2023

Background: We hypothesized that fatty liver disease (FLD) is associated with a high prevalence of hearing loss (HL) owing to metabolic disturbances. This study aimed to evaluate the association between FLD and HL in a large sample of the Korean population. Methods: We used a dataset of adults who underwent routine voluntary health checkups (n=21,316). Fatty liver index (FLI) was calculated using Bedogni's equation. The patients were divided into two groups: the non-FLD (NFLD) group (n=18,518, FLI <60) and the FLD group (n=2,798, FLI ≥60). Hearing thresholds were measured using an automatic audiometer. The average hearing threshold (AHT) was calculated as the pure-tone average at four frequencies (0.5, 1, 2, and 3 kHz). HL was defined as an AHT of >40 dB. Results: HL was observed in 1,370 (7.4%) and 238 patients (8.5%) in the NFLD and FLD groups, respectively (p=0.041). Compared with the NFLD group, the odds ratio for HL in the FLD group was 1.16 (p=0.040) and 1.46 (p<0.001) in univariate and multivariate logistic regression analyses, respectively. Linear regression analyses revealed that FLI was positively associated with AHT in both univariate and multivariate analyses. Analyses using a propensity score-matched cohort showed trends similar to those using the total cohort. Conclusion: FLD and FLI were associated with poor hearing thresholds and HL. Therefore, active monitoring of hearing impairment in patients with FLD may be helpful for early diagnosis and treatment of HL in the general population.

• 말소리와 음성과학
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• 제3권1호
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• pp.117-123
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• 2011

Most individuals with hearing impairment have difficulty in understanding speech in noisy situations. This study was conducted to investigate sentence recognition ability using the Korean Standard-Sentence Lists for Preschoolers (KS-SL-P2) in pre-school age children with cochlear implants and hearing aids. The subjects of this study were 10 pre-school age children with hearing aids, 12 pre-school age children with cochlear implants, and 10 pre-school age children with normal hearing. Three kinds of signal-to-noise (SNR) conditions (+10 dB, +5 dB, 0 dB) were applied. The results for all pre-school age children with cochlear implants and hearing aids presented a significant increase in the score for sentence recognition as SNR increased. The sentence recognition score in speech noise were obtained with the SNR +10 dB. Significant differences existed between groups in terms of their sentence recognition ability, with the cochlear implant group performing better than the hearing aid group. These findings suggest the presence of a sentence recognition test using speech noise is useful for evaluating pre-school age children's listening skill.