• Phonetics and Speech Sciences
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• v.5 no.2
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• pp.3-10
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• 2013

The purpose of this study is to analyze the acoustic characteristics of Korean alveolar sibilant sounds of children with cerebral palsy by acoustic analysis. Thirteen children with spastic cerebral palsy aging from 6 to 10 years old, were selected by an articulation test, and compared with a control group of thirty children. The meaningless monosyllable CV, disyllable VCV(/asa/) and frame sentence including target syllables CV were measured. C was from the /s, s'/, and V was from the set /a, i, u, ${\varepsilon}$, o, ɯ, ʌ/. Multi-Speech was used for data recording and analysis. As a result, the frication duration of lenis-glottalized alveolar sibilant of children with cerebral palsy was significantly shorter than that of the control group in CV, VCV and frame sentence. The vowel duration in the following lenis-glottalized alveolar sibilant of children with cerebral palsy was significantly longer than that of the control group in CV, VCV and frame sentence. The children with cerebral palsy showed frequency and intensity of friction intervals which were significantly lower than in the control group in CV, VCV and frame sentence. In the comparison of the lenis-glottalized alveolar sibilant by the children with cerebral palsy group's phonation types, the frication duration showed a significant difference between the phonation types in CV, VCV and between the phonetic contexts. The glottalized-sibilant was longer than the lenis-sibilant in all the phonetic contexts. The subsequent vowel duration showed a significant difference between the phonation types in VCV and between the phonetic contexts(p<.05). The vowel duration in the following glottalized-sibilant was longer than the vowel duration in the following lenis-sibilant in all the phonetic contexts. In the frequency there was a significant difference between the phonation types in CV, and in the intensity there was a significant difference between the phonation type in CV and VCV. The children with spastic cerebral palsy had difficulty in articulating the alveolar sibilant due to poor control ability in laryngeal, respiration and articulatory movements which require fine motor coordination. This study quantitatively analyzes the acoustic parameters of the alveolar sibilant in various phonetic contexts. Therefore, the results are expected to help provide fundamental data for an intervention of articulation treatment for children with cerebral palsy.

• Speech Sciences
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• v.13 no.4
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• pp.127-140
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• 2006

This study examined acoustic characteristics of 900 CV syllables produced by five English native speakers. Those target syllables were produced between the syllable /ba/ twenty times. The syllables were segmented and normalized by the maximum intensity value of each syllable and were divided into consonant or vowel sections by a few visible acoustic criteria. Intensity values were collected at 100 relative time points per syllable. Also, cumulative intensity values and consonant and vowel durations along with the ratio of a consonant to each syllable were measured using Praat scripts. Results showed as follows: Firstly, the consonantal section amounted to a quarter of the syllable in terms of both the cumulative intensity and duration. Secondly, the consonantal ratio by the cumulative intensity was similar to that by the duration. Finally, the sum of the cumulative intensity values in each syllable partially coincided with the consonant order by the current sonority scale. Further studies would be desirable on more reliable acoustical measurements and sophisticated perceptual experiments on the English syllables.

• Speech Sciences
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• v.5 no.2
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• pp.139-159
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• 1999

The purposes of this study are two-folds: to find out the acoustic features of Korean stops in various utterance positions and their influence on the neighbouring segments. Korean stops($/p,\;p',\;p^{h};\;t,\;t',\;t^{h};\;k,\;k',\;k^{h}/$) are examined from CV, $V_1CV_2,\;V_1NCV_2,\;V_1LCV_2$ sequences. Three speakers (two male and one female speakers of Seoul dialect) served as subjects for the present study. VOT, closure duration of the target stops and duration of the neighbouring segments were measured from acoustic data. The results can be summarized as follows. First, stops show different temporal aspects depending on their place of articulation as well as their voice types. Velar stops tend to have shorter closure duration and longer VOT due to relatively slower movement of the articulator (i.e. tongue body) and higher supraglottal air pressure during the closure, respectively. Second, temporal aspects of the neighbouring segments appear to be influenced by the voice type of stop. The preceding segment tends to be longer when a stop has shorter duration. On the other hand, the following segment tends to be shorter, when a stop has longer VOT.

• Journal of Oral Medicine and Pain
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• v.49 no.3
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• pp.49-56
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• 2024

Purpose: The aims were to investigate potential differences in clinical assessments among acute pain-related temporomandibular disorder (TMD) with different concordance value (CV) between number of self-reported painful site (NSP) and number of painful sites on palpation (NPP), and if it makes sense to treat them differently. Methods: A total of 61 patients were divided into three groups according to CV: 10 patients (concordance poor [CP]), 19 patients (concordance moderate [CM]), and 32 patients (concordance high [CH]). Clinical assessments were conducted using a standardized method in diagnostic criteria for temporomandibular disorders (DC/TMD). We compared collected information including sex, diagnosis, numerical rating scale (NRS), NPP, NSP, sleep duration, DC/TMD Axis II questionnaire, and perceived stress scale among three groups. Results: Among the clinical assessment, NRS, sleep duration, NPP, NSP, total scores of Oral Behaviors Checklist, Patient Health Questionnaire (PHQ)-15, PHQ-9 showed significant differences among 3 groups. NRS, NPP, NSP, PHQ-15, and PHQ-9 were higher in the CP group than in the CM and CH groups. Sleep duration was positively and NPP, NRS were negatively correlated with CV. Conclusions: While previous studies suggested differences between chronic and acute TMD in DC/TMD items, our findings propose the CV might be a key factor that could predict the severity and susceptibility of acute-TMD patients. However, Additional studies are required to determine whether their long-term prognosis was similar to that of chronic pain patients and what the response to treatment was among the three groups.

• Journal of Haehwa Medicine
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• v.16 no.2
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• pp.199-210
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• 2007

Objective & Methods : The case report is to observe 27 case of venesection with negative pressure therapy(buhang) operated at CV17 (Danjuong) on sudden palpitation. We carried out to analyze the distribution and Martin's evaluation and weighted scale by sex & age, patient conditional grade, accompanied symptoms, duration, number of treatments as well. Results : 1. Forties is significantly distributed on sudden palpitation. 2. Depression instance out of many accompanied symptoms is significantly distributed. 3. Mean of operant frequency is significantly resulted on 10 or 11 times. 4. The improvement on the weighted scale is over one grade. 5. Younger is high on the assessment of treatment on Martin's evaluation and weighted scale by age, while older is low. 6. Lesser one year and more three years is some significantly resulted on the assessment of treatment on Martin's evaluation and weighted scale by duration. 7. Pleurodynia, insomnia, distress in the stomach are effective more 90%, and depression, asthma are more 80% on the assessment of treatment on Martin's evaluation by accompanied symptoms, while asthma and pleurodynia are very significantly resulted on the assessment of treatment on weighted scale. 8. The assessment of treatment on Martin's evaluation and weighted scale have no connection with operant frequency. Conclusion : These results suggest that venesection with negative pressure therapy(buhang) operated at CV17 (Danjuong) has a therapeutic effect on on sudden palpitation.

• MALSORI
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• no.38
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• pp.113-124
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• 1999

It is well known that Japanese prosodic structure assumes mora below the syllable tier. Syllables with V or CV structure are counted as having one morn whereas those with coda consonants /-pp, -tt, -kk, -ss, -N/ or long vowels are counted as having two morns in Japanese. This study measured the acoustic duration of these special moras ('tokusyuhaku') produced by Tokyo dialect speakers to see if they are isochronic with V or CV. It also examined the production of Korean(Seoul/Kyungsang dialect) and Chinese native speakers loaming Japanese as a second language to examine how the learners' first language influence their second language. Finally, it examined how speakers of the Akita dialect, which is blown as a syllabeme dialect in Japanese, produced them. The results showed that intra-speaker variation as well as inter-speaker variation was observed in the production by Akita dialect speakers. Production of native speakers of Chinese and Kyungsang dialect of Korean -- which have vowel length contrast in their phonological systems -- showed a similar result to Tokyo dialect speakers, which implies the influence of the learners' first language on the acquisition of the second language.

• Speech Sciences
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• v.6
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• pp.145-161
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• 1999

21 normal Korean native speakers participated as subjects to investigate the acoustic and aerodynamic study of Korean fricatives and affricates and to make good use of the results for the patients with articulation problems. Their productions of [sa], [s'a], [ca], [$c^{h}a$], [c'a], [asa], [as'a], [aca], [$ac^{h}a$], and [ac'a] were analyzed with CSL and AP II instruments. The results are as followings: (1) Fricatives showed higher frequency in minimum and maximum frequency and longer duration than affricates. (2) Fricatives showed higher peak flow rate and longer rise time than affricates. (3) When we compared the different phonemes with each other, their differences were usually statistically significant, but when we compared CV and VCV syllables, they did not show significant difference, even VCV's showed higher and longer values than CV syllables. (4) Normaly, lax fricatives and affricates showed lower frequency and higher peak flow rate, shorter frication duration, and longer rise time.

• Journal of Korean Academy of Nursing
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• v.25 no.3
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• pp.597-607
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• 1995

1960년대 이후 인공호흡기(mechanical ventilator)의 보급과 최근 의료과학의 발달, 간호의 질적 향상의 결과로 저체중출생아를 포함한 고위험 신생아의 생존율이 높아져왔다. 호흡장애증후군(RDS)은 일차적으로 폐포의 완전한 확장을 위해 필요한 계면활성물질(surfactant)의 부족, 미발달된 심폐기능에 의한 병리적 현상으로 저체중아의 가장 큰 원인이 되어왔다. RDS로 인해 인공호흡기에 의존해 있는 저체중아의 경우 적절한 산소공급과 이를 위한 호흡의 유지는 치료의 가장 큰 핵심이 되며, 이를 위한 기관내 흑은 비인두 흡인 (nasopharyngeal suction)은 신생아 중환자실(NICU)의 가장 중요한 간호행위가 되어왔다. 인공호흡기를 위한 기관삽관은 그 자체가 기도의 성모운동을 방해하고 기침반사를 억제시켜 폐 분비물의 효과적 배출을 억제하며, 특히 저체중아의 경우 조산과 관련하여 미발달된 흥곽운등과 심폐기능은 폐분비물의 이동을 저해하는 요소이다. 따라서 기도내의 분비물의 이동을 효과적으로 하여 흡인 시에 최대한의 효과를 돕기 위해 흥곽 물리요법(chest physiotheraphy : CPT)의 한 형태인 흉곽진동법 (Chest Vibration : CV)가 행해져 왔다. 그러나 저체중아를 위한CV의 임상적 적용은 그 대상의 생리적 특성, CV의 적용부위(site)와 기간(duration)에 대한 과학적 근거 없이 만성감염이나 폐질환을 가진 성인이나 cystic fibrosis환자를 위한 CV protocol을 무분별하게 채택하여 저체중아에게 행하여져 왔다 이에 본 연구자는 저체중아에 대한 CV의 안전성을 평가하고, 이에 기초하여 저체중아에게 바람직한CV의 형태를 알아보고자 본 연구를 시작하였다. 연구설계는 CV의 안전성을 평가하기 위한 실험연구이다. CV의 안전성은 RDS치료의 가장 일차적 목표인 oxygenation변화에 의해 평가될 수 있으므로, 본 실험 연구에서는 Pulse oximeter에 의해 계속적으로 측정된 산소포화 변화(oxygen saturation change)를 측정하였다. 실험대상은 미국동부에 위치한 대학병원의 NICU에 입원하여 RDS와 관련된 호흡장애로 인공호흡기에 의존해 있는 10명의 저체중아였다. 인공호흡기에 의존된 모든 저체중아는 Pulse oximeter와 심폐기능 측정기(cardiopulmonary monitor)에 의해 산소공급과 호흡상태가 계속 측정되고 있었다. 실험대상의 평균 출생시 몸무게는 평균 1,3050gm(SD=580.6)이었고, 임신월령 은 평균 28.6주(SD=3.1)였다. RDS가 그들의 일차적 진단명이었고, 그중 4명은 pneumonia, atelectasis의 합병증을 가지고 있었다. 10명중 6명은 intermittent mandatory ventilation(IMV)의 형태로, 4명은 continuous positive airway pressure(CPAP)의 형태로 인공호흡기에 의존되어 있었고 CV시의 FiO2는 평균 42.3(SD=21.2)였다. CV는 중환아용 소형진동기 (minivibrator)를 이용해 가각 10명 의 간호사에 의해 행하여 졌고, 최소 22초에서 최대 100초 동안 실시되었다. 50%의 간호사는 30초에서 40초간 CV를 실시하였으며, CV의 적용부위도, 전후 흉곽부위, 혹은 병변이 있는 좌 우측, 흑은 양쪽 흉벽 등으로 다양했고, 적용방법도 원형으로 돌려가며(circular motion), 혹은 아래에서 위로, 혹은 아무런 기준없이 간호사의 기호에 따라 다양하게 적용되었다. 산소포화의 변화는 CV가 행해지기 전.후로 5초동안 관찰되었다. 연구의 결과, 산소포화 변화는 비 모수통계(non parametric statistics)의 일종인 Matched Paired Wilcoxon test로 분석 한 결과 CV후에 3%의 감소를 보였다(P<.05). 저체중아에 있어 산소포화의 3%감소는 임상적으로 중요한 의미가 없다고 사료되어지며, 실제 흡인전의 과도호흡에 의해 CV를 행하기 이전의 산소공급수준으로 돌아 왔다. CV실시 기간과 산소포화와의 상관관계는 비 모수통계인 Spearman rho correlation coefficient를 이용하여 분석하였는데, 이 두 변수는 서로 관계가 없는 것으로 나타났다(P>.05) 또한 CV와 흡인 후에 각각의 간호사들에게 CV를 필요로 한 저체중아의 기준, 적용부위, 기간, 방법등에 대한 기준을 물었으나 대상의 특성에 따른 간호사정에 의존하기보다는 간호사 각자의 선호하는 방법이나 습관에 라 행하는 것으로 나타났다. 결론적으로 CV와 산소포화 변화와의 관계, NICU에서 관찰된 CV의 임상적 적용을 기초로 저체중아에게 안전한 CV protocol은 신생아용 소형 진동기를 이용하여, 양쪽 흉곽의 늑골하측 변연 부위(low lateral costal margin)에서 시작하여 흉골 중앙부위 방향으로 30초 동안 진동기를 적용하는 것이 좋은 것으로 나타났다. 이에 CV의 효과를 평가하기 위한 보다 과학적인 접근방법으로, CV와 흡인의 결과인 가래(sputum)에 대한 연구를 제언하는 바이다.

• Phonetics and Speech Sciences
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• v.3 no.4
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• pp.71-81
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• 2011

This paper investigated how prosodic position and word type affect the phonetic structure of Korean coronal stops. Initial segments of prosodic domains were known to be more strongly articulated and longer relative to prosodic domain-medial segments. However, there are few studies examining whether the properties of prosodic domain-initial segments are affected by the information content of words (real vs. nonsense words). In addition, since the scope of domain-initial effect was known to be local to the initial consonant and the effects on the following vowel have been found to be limited, it is thus worth examining whether the prosodic domain-initial effect extends into the vowel after the initial consonant in a systematic way across different prosodic domains. The acoustic properties of Korean coronal stops (lenis /t/, aspirated /$t^h$/, and tense /t'/) were compared across Intonational Phrase, Phonological Phrase and Word-initial positions both in real and nonsense words. The durational intervals such as VOT and CV duration were cumulatively lengthened for /t/ and /$t^h$/ in the higher prosodic domain-initial positions. However, tense stop /t'/ did not show any variation as a function of prosodic position and word type. The domain-initial lenis stop showed significantly longer duration in nonsense words than in real words. But the prosodic domain-initial effect was not found in the properties of F0 and [H1-H2] of the vowel after initial stops. The present study provided evidence that speakers tend to enhance speech clarity when there is less contextual information as in prosodic domain-initial position and in nonsense words.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.11 no.2
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• pp.93-100
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• 1986

We analyzed Korean CV mono-syllables consisted of concatenation of consonants/k, t, p, g/, their fortis and rough sound and vowels/a, e, o, u, I/by the PARCOR technique, and then we synthesized those speech by means of the phoneme synthesis controlling the analyzed data. In the speech analysis, the duration of consonants decreases in the rough sound, the lenis and the fortis in turns. And also the gain of them decreases in the same tendency. The pitch period increases more and more in vowels following the rough sound, the fortis and the lenis in turns. We synthesized the lenis and the fortis by controlling the duration and the gain of the rough sound, and vowels following the fortis and the rough sound by controlling the pitch period and the duration of vowels following the lenis. As the results, the synthesized speech quality is good and we make certain it is possible to make a rule to the phonome synthesis in Korea speech.