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소음 특수건강진단 1차검사의 민감도와 특이도에 미치는 일과성 역치 상승과 주변환경 소음의 영향

Other Titles
 Effects of transient threshold shift and ambient noise on sensitivity and specificity of first screening of special health examination for noise 
 원종욱  ;  방문규  ;  송중호  ;  정선아  ;  송재석  ;  노재훈 
 Korean Journal of Occupational and Environmental Medicine (대한산업의학회지), Vol.12(2) : 269-276, 2000 
Journal Title
 Korean Journal of Occupational and Environmental Medicine (대한산업의학회지) 
Issue Date
Noise induced hearing loss ; Hearing test ; Sensitivity ; Specificity
OBJECT: This study was performed to increase the sensitivity and specificity for screening the examinee of second hearing test. METHODS: Study subjects were 219 workers who exposed more than average 80dB. They were taken the hearing test two times, before noise exposure and at 1 hour to 4 hours after worksite noise exposure. To investigate the ambient noise workers who were taken the hearing test in the test room which ambient noise was less than 45dB were classified Group I and the others were classified Group E. To calculate the sensitivity and specificity we made it gold standard whether worker had noise induced hearing loss. RESULTS: Difference of hearing loss between before and after noise exposure for left and right ear was 11. 4 dB and 11. 7 dB respectively at 500 Hz, 8. 7 dB and 9. 6 dB at 1, 000 Hz, 6. 3 dB and 6. 9 dB at 2, 000 Hz and 6. 9 dB and 7. 4 dB at 4, 000 Hz in Group I. That for left ear and right ear was 5.8 dB and 4.9 dB at 500 Hz respectively, 5.4 dB and 6.4 dB at 1,000 Hz, 6.3 dB and 5.3 dB at 2,000 Hz, and 5.5 dB and 5.8 dB at 4,000 Hz in Group E. The sensitivity was 100 in both Groups and the specificity was increased to 58. 3 and 71. 8 in Group I and Group 3 respectively until 10 dB was deducted from hearing level at 1, 000 Hz and 4, 000 Hz. CONCLUSION: When the screening hearing test was performed at worksite, we might deduct 10 dB from measured hearing level to increase the specificity without reduction of sensitivity.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Occupational and Environmental Medicine (작업환경의학과) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Roh, Jae Hoon(노재훈)
Won, Jong Uk(원종욱) ORCID logo https://orcid.org/0000-0002-9200-3297
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