• Clinical and Experimental Pediatrics
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• v.48 no.7
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• pp.706-710
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• 2005

Purpose : Early diagnosis of congenital hearing loss through the neonatal hearing screening test minimizes language defect. This research intends to identify frequency of congenital hearing loss in infants through neonatal hearing screening test with the aim of communicating the importance of hearing test for infants. Methods : From May 20, 2003 to May 19, 2004, infants were subjected to Automated Auditory Brainstem Response test during one month of birth to conduct the test with 35 dB sound. Infants who passed the 1st round of hearing test, were classified into 'pass' group whereas those who did not were classified into 'refer' group. Infants who did not 'pass' in the hearing test conducted within one month of birth were subjected to re-test one month later, and if classified as 'refer' during the re-test, they were subjected to the diagnosis for validation of hearing loss by requesting test to the hearing loss clinic. Results : There was no difference among the 'pass' and 'refer' group in terms of form of childbirth, weight at birth and gestational age. In the 1st test, total of 45 infants were classified into 'refer' group. Six among 35 who were subjected to re-test(17%) did not pass the re-test, and all were diagnosed with congenital hearing loss. This corresponds to 0.35%(3.5 per 1,000) among total number of 1,718 subjects. Conclusion : In our study the congenital hearing loss tends to be considerably more frequently than congenital metabolic disorder. Accordingly, newly born infants are strongly recommended to undergo neonatal hearing screening test.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1987.05a
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• pp.9.1-9
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• 1987

뇌간유발청력검사는 최근 들어 신생아 및 영유아에 있어 청력 및 청신경로의 성숙(auditory maturation)정도를 파악할 수 있는 객관적인 진단 방법으로 평가되고 있다. 그러나 상기 검사결과는 측정계기의 종류 및 측정방법에 따라 다소 차이를 보일 수 있다. 우리나라에서는 아직 정상 신생아를 대상으로 뇌간유발청력검사에 대한 보고가 없는 실정이다. 이에 본 교실에서는 87년 3~4월에 Severance병원에서 출생한 정상 신생아 20명을 대상으로, 출생 후 16내지 69 시간내 두 차례에 걸쳐 뇌간유발 전달시간 및 뇌간유발 역치를 측정, 다음과 같은 결과를 얻었기에 보고하는 바이다. 1) 72.5 ㏈, 4KHz click에 대한 평균 절대적 latency는 각각 I(1.68), II(2.74), III(4.33), IV(5.71), V(6.77), Ⅵ(8.16), Ⅶ(9.85)였고 tone pip은 각각 I(2.04), II(3.04), III(4.60), IV(5.75), V(7.14), Ⅵ(8.54), Ⅶ(10.60) 이었다. 2) 평균 뇌간전위 유발역치는 29.5㏈ SPL 이었다. 3) 파형은 A형이 1.7%, 3형이 30.2%, C형이 45.7%, D형이 5.2%, E형이 1.7%, F형이 15.5%이었고, click과 tone pip, 자극음의 강도, ISI에 따른 차이가 없었다. 4) 제1소파에서 제5소파까지의 절대적 latency와 I- III, III-V,및 I-V의 상대적 latency에 있어서, 반복율, 자극음 종류 및 첫째날과 둘째날의 비교치에 있어서만이 선택적으로 유의한 차이가 발생하였으며, 자극음의 크기에는 차이가 나타나지 않았다.

• Journal of Preventive Medicine and Public Health
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• v.31 no.2 s.61
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• pp.285-292
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• 1998

To investigate the effect of smoking on the hearing threshold, 1,887 adult male workers who visited health care center during the period 1 January 1996 - 31 July 1997 were selected. Air-conduction hearing threshold level, diastolic blood pressure(DBP), total cholesterol, fasting blood sugar(FBS), hematocrit and obesity were measured. The data on age, occupation, and smoking were collected. Air-conduction hearing threshold in smoker was significantly higher than non-smoker in categories of 250, 500, 1000 and 4000 Hz(p<0.05). Mean values of PTA-low, PTA-mid, and PTA-high in smoker were also significantly higher than non-smoker(p<0.05). In multiple regression analysis, smoking is likely to play a significant role after controlling age, occupation, DBP, FBS, total cholesterol, hematocrit, and obesity(p<0.05). The hearing threshold was significantly increased with increasing age(p<0.05), the manufacturing worker may have higher hearing threshold(p<0.05). The higher hematocrit and the more obese, the higher hearing threshold(p<0.05). However, DBP, total cholesterol and FBS were not significantly related with hearing threshold level. In conclusion, smoking was significantly related with the hearing threshold level in adult men.

• Journal of Preventive Medicine and Public Health
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• v.31 no.2 s.61
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• pp.249-264
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• 1998

Reports on a potential relationship between sensory neural hearing loss(SNHL) and cardiovascular or hematologic factor show that the results are controversial. A detailed analysis of risk factors in the development of SNHL was carried out in 3,050 non-noise exposed healthy worker. The mean hearing threshold of both ears at 500, 1000, 2000, 4000, 8000Hz was measured and the effect of age, possible cardiovascular risk factor and hematologic factor (blood viscosity and hemostatic factors) on SNHL were evaluated. first, each of these were associated with loss of hearing sensitivity when univariately and multivariatively analysed. In a multiple regression model, age, sex, body mass index, WBC and total cholesterol level were independently associated with the mean of hearing sensitivity decrease at 4000 and 8000Hz. Second, study subjects were divided into two group (normal vs SNHL) and we compare the possible risk between both groups, and analysed univariate and multivariative logistic model. In a multiple logistic regression model, age, sex, body mass index, WBC and total cholesterol level, total protein, platelet were independently associated with SNHL. Our results show that we have some reliable indices of susceptibility to SNHL using cardiovascular measures or biochemical factor, but future, more extensive studies are required.

• Journal of the korean academy of Pediatric Dentistry
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• v.50 no.3
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• pp.239-251
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• 2023

The aim of this study is to evaluate the effect of noise-filtering earplugs on the hearing ability of dentists wearing them during noise-induced dental procedures. Pure tone audiometry and distortion product otoacoustic emission (DPOAE) tests were conducted at the initial visit and 1 year later to evaluate the hearing ability of the participants. As a result of the study, the pure tone average of the group wearing earplugs decreased significantly compared to the group not wearing earplugs, indicating an improvement in hearing. However, the signal-to-noise ratio of the DPOAE tests did not show a significant difference. These findings suggest that noise-filtering earplugs may have some effectiveness in preventing hearing loss. However, since the 1-year observation period may not be adequate to identify changes in hearing, a follow-up study with an extended follow-up period is necessary.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1979.05a
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• pp.3.1-3
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• 1979

The aim of ear operation is to cease otorrhea and to restore hearing. The ceasation of otorrhea and the graft of tympanic membrane are reached to successful stage, and yet hearing restoration process still remains further to need a matter of development. Authors carried out 67 cases hearing restoration operation among 154 patients who had been undertaken mastoid-tympanoplasty during period of Feb. 1978 through March 1979. 54 cases have been followed for this study among 67 cases hearing restoration operation. The used material of operation are almostly incus and some cases with TORP. This paper is dealing with its surgical method and postoperative audimetric study.

• Neonatal Medicine
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• v.16 no.2
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• pp.213-220
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• 2009

Purpose: Hearing loss is one of the common birth defects in humans, with a reported prevalence of 1-3 per 1000 newborns. We investigated the incidence of hearing loss and evaluated the use of neonatal hearing screening test in neonatal intensive care unit (NICU) graduates who are at greater risk for hearing loss than normal newborns. Methods: The neonates admitted to the NICU of Asan Medical Center from 1 March, 2003 to 30 March, 2008 who were available for follow-up were included. Those who failed the first auditory brainstem response prior to discharge were retested with the stapedial reflex test, auditory brainstem response and tympanometry in the Otolaryngology department. Results: Of 2,137 neonates, 2,000 (93.5%) neonates were tested prior to discharge. Sixty-seven neonates (3.4%) failed the first newborn hearing screening test. Of 67 infants, 52 infants were retested for a second hearing test. Excluding 10 infants (19.2%) who were lost during follow-up, 16 infants were confirmed to have hearing impairment of which 12 and 4 infants had unilateral and bilateral hearing loss, respectively. Of 16 infants, 5 did not meet the criteria set by the Korean National Health Insurance Corporation. Conclusion: The prevalence of hearing impairment in NICU graduates is about 0.8%, excluding those who were lost for follow up, necessitating a systemic and effective hearing assessment program among these high risk infants and more generous national insurance coverage.

• 월간산업보건
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• s.180
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• pp.16-26
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• 2003

• 월간산업보건
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• s.201
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• pp.21-31
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• 2005

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.22 no.2
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• pp.149-155
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• 2012

Objectives: 이 논문의 목적은 한 사업장에서 수십 년 동안 진행된 소음감소계획이 실제적이고, 경제적인 것을 증명하고 이를 바탕으로 소음의 공학적 개선방법과 효과적인 실행을 위한 실제 작동 가능한 모델을 제시하는 것이다. Methods: 1967년도에 설립된 다국적 전자회사에서 1987년부터 2002년까지 실행된 각종 소음 감소 노력, 요소, 프로그램을 분석하고 이 기간 동안 소음감소가 어떻게 실제로 일어났는지 분석하였다. 특히 회사가 다른 여러 가지 노력을 한 후에도 실질적 효과를 기대하기 어려워 공학적 개선과 같이 도입한 Action Learning Team (ALT) 활동에 초점을 두고 개선 효과를 파악하였다. Results: 실제 소음의 감소노력은 산업안전보건법의 변화에 따라 여러 가지 형태로 실행되었다. 주된 효과는 ALT활동이 있고 나서 이루어졌는데 평균 소음 노출수준이 86.9 dBA에서 79.8 dBA로 현저히 감소하였으며 소음 지역 (85dBA 이상 )도 10개 지역에서 3개 지역으로 70% 감소하였다. ALT 활동의 결과로 나타난 7개 지역의 소음 감소를 위해 투입된 총 비용이 6,767 달러였다. ALT 활동을 처음 시작한 첫해에 소음 감소지역을 줄임으로써 이 지역의 근로자가 청력검사를 받지 않아서 초기 396명의 근로자가 청력검사를 받던 것을 활동 후 130명만 받아 266명의 근로자가 청력검사를 받지 않아도 되어 청력검사 비용이 6,650 달러 절약되었다. 따라서 장기간으로 보면 매우 비용효과적인 방법으로 증명되었다. Conclusions: 실제 소음감소가 현저히 일어나고, 비용효과적인 소음 감소가 일어나려면 기기 설비 공정담당자가 소음감소의 중요성을 잘 알고, 그 기법을 숙지하고 있어야 하며, 실제 활동을 할 수 있도록 관리자 층의 권한을 위임 받아 활동할 수 있어야 한다. 이 논문에서는 공학적 개선 태스크포스팀을 운영하여 ALT활동을 하였을 때 실제적이고, 비용효과적인 소음 감소를 증명하였다.