• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제31권4호
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• pp.350-355
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• 2005

There are various surgical methods for reconstruction of the nasal defect. Among them, there is some difference in the choosing the proper reconstruction method according to defect size and position. When the defect involved the tip, the columella, and the alar, the local flaps may be preferred, because they can provide sufficient amount of tissue. However, the composite grafts from the ear have been effectively used in reconstructions of smaller sized defects of the columella and ala. We excised total external nose because of squamous cell carcinoma on the nasal tip, columella, and nasal septum. We reconstructed the nasal tip, both alae, and columella with forehead flap. After division of the regional flap, we found partial necrosis of the columella and narrowness of the nostril. So, we used chondrocutaneous auricular composite grafts for reconstruction of the columella and both nostrils. We used the file-folder designed auricular composite graft for reconstruction of columella and the wedge shaped ear helical composite grafts for widening of nostrils. 6 months later, there were no significant problems, except some mismatched dark color in the grafted alar tissues. Here, we report a successful reconstruction of large nasal defect using combined two different reconstructive methods.

• 한방안이비인후피부과학회지
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• 제11권1호
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• pp.180-196
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• 1998

A Literatur Review of Physical and Breathing Exercises for Ear Health, the results were as follows. 1. The most common using way is rubbing your ears and auricle with warm palms. 2. To stimulate inner acoustic meatus, obstruct external acoustic meatus for a short time by the palm or fingers and then to stimulate it by the sudden opening. 3. This method is a common way to press aurical or orifice of external acoustic meatus for example, TE21(耳門), TE20(角孫), GB2(聽會), TE19(노息), TE18(계脈), GB11(竅陰), TE17(예風) etc. 4. The best time to pratice is early in the morning or before go to bed, but a litter difference by the writer's opinion, so there is not consistency. 5. Since tinnitus and hardness of hearing is related to the who1e body, it is known that you can relax your whole body by pressing the acupuncture points located in the head of occipital region or by stretching the upper half of the body. 6. There is method that obstruct your ears with palms and 3rd finger on your occipital region and splash by the 2th fingers.(sound the celestial drum)

• Safety and Health at Work
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• 제12권2호
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• pp.184-191
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• 2021

Background: Hearing protection devices (HPDs) are often used in the workplace to prevent hearing damage caused by noise. However, a factor that can lead to hearing loss in the workplace is improper HPD fitting, and the previous literature has shown that instructing workers on how to properly insert their HPDs can make a significant difference in the degree of attenuation. Methods: Two studies were completed on a total of 33 Hydro One workers. A FitCheck Solo field attenuation estimation system was used to measure the personal attenuation rating (PAR) before and after providing one-on-one fitting instructions. In addition, external ear canal diameters were measured, and a questionnaire with items related to frequency of use, confidence, and discomfort was administered. Results: Training led to an improvement in HPD attenuation, particularly for participants with poorer PARs before training. The questionnaire results indicated that much HPD discomfort is caused by heat, humidity, and communication difficulties. External ear canal asymmetry did not appear to significantly influence the measured PAR. Conclusion: In accordance with the previous literature, our studies suggest that one-on-one instruction is an effective training method for HPD use. Addressing discomfort issues from heat, humidity, and communication issues could help to improve the use of HPDs in the workplace. Further research into the effects of canal asymmetry on the PAR is needed.

• 재활복지공학회논문지
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• 제11권1호
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• pp.63-71
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• 2017

본 논문에서는 달팽이관의 정원창 이식용으로 최근 새롭게 제안된 3코일 벨로우즈형 진동체(tri-coil bellows transducer, TCBT)를 이용하는 반이식형 인공중이(semi-implantable middle ear hearing device)를 위한 신호처리회로를 설계하였다. 설계된 반이식형 인공중이는 높은 효율을 가지는 유도결합 방법을 이용하여 귀 뒤편에 착용되는 체외기와 대응되는 피부 내측에 위치하는 체내기 간에 데이터를 전송한다. 귀 뒤 부위의 피부두께를 포함하는 반이식형 인공중이의 송수신 거리를 고려하여 송수신 코일과 신호처리 회로를 설계 및 구현하였다. 또한 데이터 전송 효율을 높이기 위하여, 전력을 충분히 증폭하기 위한 체외기의 출력부도 설계 하였다. 유도결합 방식을 이용한 반이식형 인공중이의 동작을 확인하기 위하여, PSpice를 이용하여 회로해석을 수행하였으며, 활용 가능한 크기의 신호처리 보드를 제작하여 그 성능을 검증하였다.

• 보건행정학회지
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• 제7권2호
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• pp.46-64
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• 1997

Background & Objectives : Korea is face with the social need for health care technology assessment so that it is urgently needed to found principles and methodology in technology assessment in health care. As a groundwork for health care technology assessment, we tried to prioritize medical technology for assessment. Among medical technologies, procedure is somewhat difficult to assess, compared to drug or equipment. In this study, we aimed at the prioritisation of medical procedure to be assessed, in terms of efficay, safety, and adequacy. Method : For the standardized classification of medical procedure, ICD-9-CM(International Classification of Diseases 9th edition - Clinical Modification) was used. Among the list the procedures coming under otorhinolaringjology and thoracic surgery were selected by three family physicians. The list of procedure was mailed to the board certified surgeons of both disciplines, with the question asking about the necessity for assessment in terms of efficay, safety, and adequacy. Replied questionnaires were analyzed in each procedure. Results : Of 560 otorhinolaryngologist and 480 thoracic surgeon, 114 surgeons replied. Of otorhinolaryngological procedure, incision, excision, and destruction of inner ear : fenestration of inner ear : stapedectomy and its revision were the most urgent technology to assess in the aspect of safety. For adequacy, operations on Eustachian tube: fenestration of inner ear: incision, excision, and destruction of inner ear were highly ranked in necessity, and for efficary, operations on Eustachian tube; external maxillary antrotomy; fenestration of inner ear. Thoracic surgeons replied thoracic procedures, lung transplantation; heart transplantation; implantation of heart assist system [pump] are most important for evaluation in terms of safety; and heart transplantation; Lung transplantation; Implantation of heart assist system [pump] in terms of adequacy, and surgical collapse of lung [Artificia니 pnemothorax or pnuexoperitoeum]; lung transplantation; periarterial sympathectomy in terms of efficacy. As a whole, surgeons regard safety evaluation is more urgent than adequacy or efficary. In addition, otorhinolaryngological surgeons regard evaluation of their procedures more urgent than thoracic surgeons regard theirs. Conclusion : By the questionnaire to board certified physicians, we get some preliminary data for prioritisation of technologies to assess. Through the questionnaire like this, much information would be gathered for technology assessment, especially for medical procedure, if not enough. In the near future, well structured expert opinion gathering research, such as modified Delphi or nominal group technique, should be done succeedingly.

• 말소리와 음성과학
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• 제4권3호
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• pp.179-186
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• 2012

The aims of this study are to consider auditory physiological characteristics and to confirm audiological evaluation and interpretation in regards to cases of sensorineural hearing loss that observe an abnormal AB gap. Vestibulosaccular hearing occurs when there is an abnormally large air-bone gap (AB gap) in sensorineural hearing loss, also known as pure cochlear conductive hearing loss. Generally, an AB gap is caused by damage to the external and/or middle ear. In conductive hearing loss, loss of air condition hearing occurs due to a loss of resonance in the outer ear and/or impedance mismatching in the middle ear. Most of these types of hearing loss can be treated medically and surgically. However, there is no medical treatment for an AB gap in sensorineural hearing loss and hearing loss can worsen gradually or suddenly. In addition, many studies have reported that head trauma makes hearing loss even more serious. Therefore, in order to differentiate between conductive hearing losses, it is important to check whether or not there is an enlarged vestibular aqueduct by means of temporal bone computerized tomography and/or magnetic resonance imaging.

• Journal of Acupuncture Research
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• 제20권1호
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• pp.97-103
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• 2003

Objective : Auricular acupuncture is a method of treatment that involves needling the ear in order to produce relief of symptoms. This concept was first developed by P.Nogier, french doctor and referred to as somatotopic representation. Many authors have commented the fact that the vagus nerve supplies the external auditory and the concha. The aim of this randomised, single blind study was to investigate whether auricular acupuncture of the ear produced changes in the pulse rate, an indicator of vagal tone. Methods: 10 healthy man volunteers were divided into normal and epinephrine stimulation group. Then each group was divided into vagus area acupuncture and control area acupuncture group again. Epinephrine stimulation group was injected by epinephrine 0.3cc twice, first. All of them were needled in either the vagus area or control area of the ear, and pulse rate changes were measured by patient monitor over 1 hour. Results : In the epinephrine stimulation group, there was significant differences in the pulse rate change between vagus area acupuncture and control area acupuncture group. After injection of epinephrine, the basal pulse rate was increased 1.3~1.4 times in the control group. However, in the vagus area acupuncture group the basal pulse rate was increased only 1.1~1.2 times.

• 가정과삶의질연구
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• 제29권1호
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• pp.127-138
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• 2011

This study analyzed the internal-external controls, psychological well-being and depression of mothers as factors that affect mothers's parenting style of young children. The participants were 228 mothers of preschoolers. Data were analyzed by descriptive statistics, Pearson's productive correlation, and stepwise multiple regression analysis. Results showed that positive mothers parenting style had positive relationships with internal control and psychological well-being. On the other hand, positive mother's parenting style had negative relationships with external control and depression. In addition, negative mother's parenting style had positive relationships with external control and depression. On the other hand, negative mother's parenting style had no relationship with psychological well-being and internal control. Psycholobrical well-being had the strongest effect on positive mother's parenting style and external control had the strongest effect on negative mother's parenting.

• International journal of advanced smart convergence
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• 제6권2호
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• pp.16-23
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• 2017

In contemporary modern society, people are constantly exposed to many kinds of noise, such as that from machinery, aircraft, construction sites, or road traffic. Noise is considered one of the most indispensable and influential parts of human life. This study investigates the acoustic characteristics of noise transfer from external sources to the human ear. For this study, we measured and analyzed various types of noise environments, installed monitoring speakers in a semi-anechoic room, and conducted intentional noise-filled experiments. In this environment, the size of the sounds generated by use of a portable device was also measured and the SNR (signal to noise ratio) calculated to study the influence of the noise. As sound is transmitted to the ear and the human body, it affects not only auditory damage but also other parts of the body. In this paper, we propose a proper SNR for noise emitted by portable IT equipment to prevent hearing loss when IT equipment is used.

• Journal of Dental Anesthesia and Pain Medicine
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• 제17권3호
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• pp.215-217
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• 2017

Branchio-oto-renal syndrome (BOR) is a rare autosomal dominant disorder. The features include branchial cysts, hearing loss, ear malformation, preauricular pits, retrognathia, congenital heart disease, and renal abnormalities. However, anesthetic management of these patients has seldom been reported. We report a case in which general anesthesia was performed for dental treatment in a patient with BOR. Airway management, renal function, and hemodynamic changes can be of critical concern during anesthetic management. A 13-year-old girl diagnosed with BOR had severe right hearing loss, right external ear malformation, renal abnormalities, and postoperative patent ductus arteriosus (PDA). Dental extraction under general anesthesia was scheduled for a supernumerary tooth. The procedure was completed with sufficient urine volume, adequate airway management, and stable hemodynamics.