이명의 요양과 장애 보상: 전역 군인의 군 소음으로 인한 이명 장애를 중심으로
Tinnitus Disability Compensation: Focusing on Tinnitus Disorder Caused by Military Noise in Veterans
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Military service personnel are constantly exposed to sudden, loud noises, and often show a higher auditory threshold than the general population, as well as tinnitus. Tinnitus in military personnel can occur alone, without any complaints of hearing impairment. When accompanied by hearing impairment, the low/mid-frequency hearing loss is not large, and the hearing threshold may appear to be increased in the high frequency range from 3-6 kHz. Therefore, by calculating the average hearing threshold and restricting disability assessments to cases of tinnitus with a moderate degree of hearing impairment of 50 dB, most veterans with tinnitus will be excluded from compensation. Not only are the diagnoses, evaluations, and auditory complications of tinnitus not considered, neither are the mental and psychological effects, nor the aspects of treatment and rehabilitation related to quality of life. This study aims to examine the characteristics of tinnitus disorder due to military noise. In addition, this study proposes that tinnitus should be classified as a public occupational disease in veterans, and discusses problems with the criteria for disability compensation and examinations.
Abstract
Military service personnel are constantly exposed to sudden, loud noises, and often show a higher auditory threshold than the general population, as well as tinnitus. Tinnitus in military personnel can occur alone, without any complaints of hearing impairment. When accompanied by hearing impairment, the low/mid-frequency hearing loss is not large, and the hearing threshold may appear to be increased in the high frequency range from 3-6 kHz. Therefore, by calculating the average hearing threshold and restricting disability assessments to cases of tinnitus with a moderate degree of hearing impairment of 50 dB, most veterans with tinnitus will be excluded from compensation. Not only are the diagnoses, evaluations, and auditory complications of tinnitus not considered, neither are the mental and psychological effects, nor the aspects of treatment and rehabilitation related to quality of life. This study aims to examine the characteristics of tinnitus disorder due to military noise. In addition, this study proposes that tinnitus should be classified as a public occupational disease in veterans, and discusses problems with the criteria for disability compensation and examinations.
참고문헌 (32)
- Ahmed, H. O., "High-frequency(10-18 kHz)hearing thresholds : Reliability, and effects of age and occupational noise exposure", Occupational Medicine, 51(4), pp.245~258 (2001)
- Axelsson, A., "Tinnitus--a study of its prevalence and characteristics", British Journal of Audiology, 23(1), pp.53~62 (1989)
- Barnea, G., "Tinnitus with normal hearing sensitivity : Extended high-frequency audiometry and auditory-nerve brain-stem-evoked responses", Audiology, 29(1), pp.36~45 (1990)
- Erlandsson, S. I., "Prediction of quality of life in patients with tinnitus", British Journal of Audiology, 34(1), pp.11~19 (2000)
- Erlandsson, S. I., "Psychological dimensions in patients with disabling tinnitus and craniomandibular disorders", British Journal of Audiology, 25(1), pp.15~24 (1991)
- Guest, H., "Tinnitus with a normal audiogram : Relation to noise exposure but no evidence for cochlear synaptopathy", Hearing Research, 344, pp.265~274 (2017)
- Hallam, R. S., "Manual of the Tinnitus Questionnaire(TQ)" (1996), The Psychological Corporation
- Humes, L. E., "Noise and Military Service : Implications for Hearing Loss and Tinnitus" (2006), The National Academies Press
- 김도연, "군 전역자의 이명장애에 영향을 미치는 요인", Audiology and Speech Research, 8(2), pp.149~157 (2012), 한국청각언어재활학회
- 김지혜, "한국어 번역판 Tinnitus Handicap Inventory의 신뢰도 및 타당도 연구", 대한이비인후과학회지 두경부외과학, 45(4), pp.328~334 (2002), 대한이비인후과학회
- 김규상, "특수병과의 과거 군 소음 노출이 소음 노출 작업자의 청력에 미치는 영향", 예방의학회지, 36(2), pp.137~146 (2003), 대한예방의학회
- 김규상, "군 복무로 인한 이명자의 이명 특성과 이명장애의 우울증과의 관련성", 대한이비인후과학회지 두경부외과학, 55(12), pp.757~763 (2012), 대한이비인후과학회[DOI]
- Kujawa, S. G., "Adding insult to injury : Cochlear nerve degeneration after"temporary"noise-induced hearing loss", Journal of Neuroscience, 29(45), pp.14077~14085 (2009)
- Kuk, F. K., "The psychometric properties of a tinnitus handicap questionnaire", Ear and Hearing, 11(6), pp.434~445 (1990)
- 이재은, "군 전역자의 이명장애와 SF-36에 의한 건강수준과의 관련성", Audiology and Speech Research, 10(3), pp.208~222 (2014), 한국청각언어재활학회
- Le Prell, C. G., "Extended high-frequency thresholds in college students : Effects of music player use and other recreational noise", Journal of the American Academy of Audiology, 24(8), pp.725~739 (2013)
- Moon, S., "Noise-induced hearing loss caused by gunshot in South Korean military service", Military Medicine, 172(4), pp.421~425 (2007)
- 문인석, "소총 소음에 의한 음향외상의 임상양상", 대한이비인후과학회지 두경부외과학, 51(8), pp.699~704 (2008), 대한이비인후과학회
- Newman, C. W., "Development of the tinnitus handicap inventory", Archives of Otolaryngology-Head and Neck Surgery, 122(2), pp.143~148 (1996)
- Odess, J. S., "Acoustic trauma of sportsman hunter due to gun firing", The Laryngoscope, 82(11), pp.1971~1989 (1972)
- Samarei, R., "Causes of tinnitus in patients referred to ENT clinic of Imam Khomeini hospital in Urmia, 2012-2013", Global Journal of Health Science, 6(7 Spec No), pp.136~143 (2014)
- Salmivalli, A., "Military audiological aspects in noise-induced hearing losses", Acta Oto-Laryngologica, 86(Supp360), pp.96~97 (1978)
- Sanchez, T. G., "Tinnitus in normally hearing patients : Clinical aspects and repercussions", Revista Brasileira de Otorrinolaringologia, 71(4), pp.427~431 (2005)
- Savolainen, S., "Impulse noise and acute acoustic trauma in Finnish conscripts number of shots fired and safe distances", Scandinavian Audiology, 26(2), pp.122~126 (1997)
- Searchfield, G. D., "Textbook of Tinnitus", pp.215~222 (2011), Springer
- 심현준, "Hearing Abilities at Ultra-High Frequency in Patients with Tinnitus", Clinical and Experimental Otorhinolaryngology, 2(4), pp.169~174 (2009), 대한이비인후과학회
- Tyler, R. S., "Difficulties experienced by tinnitus sufferers", Journal of Speech and Hearing Disorders, 48(2), pp.150~154 (1983)
- DOEHRS Data Repository: Army Hearing Conservation Program Compliance Reports, 1988–2003, "U. S. Army Center for Health Promotion and Preventive Medicine.", Data provided to the Institute of Medicine Committee on Noise-Induced Hearing Loss and Tinnitus Associated with Military Service from World War II to the Present, ~ (2004)
- Xu, X., "An epidemiologic study of tinnitus in a population in Jiangsu Province, China", Journal of the American Academy of Audiology, 22(9), pp.578~585 (2011)
- Ylikoski, J., "Acute acoustic trauma in Finnish conscripts. Etiological factors and characteristics of hearing impairment", Scandinavian Audiology, 18(3), pp.161~165 (1989)
- Ylikoski, J., "Subclinical vestibular pathology in patients with noise-induced hearing loss from intense impulse noise", Acta Oto-Laryngologica, 105(5-6), pp.558~563 (1988)
- Ylikoski, M. E., "Hearing loss and handicap of professional soldiers exposed to gunfire noise", Scandinavian Journal of Work, Environment and Health, 20(2), pp.93~100 (1994)