• 제목/요약/키워드: VHI

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DSI와 VHI의 상관관계 연구 - 성대결절 및 후인두 역류환자를 중심으로 - (Correlation studies of DSI and VHI - Focused on vocal nodule & LPR -)

  • 이훈실;정경희;황영진
    • 말소리와 음성과학
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    • 제8권4호
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    • pp.123-129
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    • 2016
  • This study investigates the relationship between dysphonia severity index(DSI) and voice handicap index(VHI). Seventeen patients with a vocal nodule and twenty patients with laryngopharyngeal reflux(LPR) patients participated in this study. Results showed that there is no significant difference in either DSI or VHI between vocal nodule and LPR patients, with a weak negative correlation between DSI and VHI. Results also showed that there is significant difference only in both MPT and Fhi of all DSI parameters between vocal nodule and LPR patients. These results suggest that voice evaluation should be conducted both objectively in terms of acoustical and aerodynamic parameters and subjectively in terms of GRBAS and VHI.

한국어판 소아음성장애지수(pVHI-K : Pediatric Voice Handicap Index-Korean) : 표준화를 위한 예비연구 (Pediatric Voice Handicap Index-Korean(pVHI-K) : A Pilot Study for Standardization)

  • 박성신;최성희;홍영혜;정년기;성명훈;김광현;권택균
    • 대한후두음성언어의학회지
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    • 제22권2호
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    • pp.137-142
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    • 2011
  • Background and Objectives : The aim of this study is to introduce Korea version of pediatric VHI and to compare pVHI-K scores between children with dysphonia and children without voice problems before pVHI-K is developed as a preliminary study. Additionally, the relationship between pVHI and acoustic measures were investigated. Materials and Methods : pVHI-K scores in normal group were obtained from 15 parents who have children with no present or past history of a voice disorder, hearing loss, or related disability that can affect the their voice or speech. Dysphonia group consisted of 15 parents who have children with bilateral vocal fold nodule's at Department of Otolaryngology, the Seoul National University Hospital (SNUH). pVHI-K and acoustic parameters were measured in two group. Results : The mean pVHI scores (total, functional, physical, emotional) in normal group were 2.33 (T), 0.80 (F) 1.33 (P) and 0.27 (E), respectively whereas those of pVHI in children group with dysphonia were 23.13 (T), 11.07 (F), 5.73 (P) and 6.13 (E), respectively and significant differences were revealed in total pVHI score as well as in all of the sub-pVHI scores. Moreover, significant correlation between pVHI-K parameters (T, F, P) and acoustic measures [Shimmer(%)] were shown in children in dysphonia group. Conclusion : Reported by parents can be useful as a supplementary clinical tool for diagnosing and measuring treatment effectiveness in young children with dysphonia.

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음성장애 주관적 평가와 객관적 평가 간의 상관성 연구 (A Study of the Correlation between Subjective and Objective Evaluation of Voice Disorders)

  • 이옥분;김소연
    • 말소리와 음성과학
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    • 제3권3호
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    • pp.167-172
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    • 2011
  • The purpose of this study was to examine the relationship between subjective and objective evaluation in speakers with voice disorders. Subjective evaluation indicates the self-reports of voice problems by dysphonic speakers. The relating protocol is the Voice Handicap Index (VHI) and the self-awareness index of voice problems (SAIVP-14). A total of 48 individuals with voice disorders replied to the questionnaire and participated in a voice assessment. Objective evaluations included the perceptual judgement of G grade in GRBAS, acoustic measurements (jitter, shimmer, NHR) by MDVP (CSL 4400), and aerodynamic measurements (MPT, MFR, psub) by PAS (Phonatory Aerodynamic System, KayPentax, USA). Pearson and Spearman correlations were used for the analysis. In the correlation with perceptual judgement (G grade) and VHI-Total, VHI-Physical, and SAIVP-14, there was a significant correlation, but the overall correlation was poor. NHR, jitter, and shimmer were significantly correlated with overall VHI and SAIVP-14. Specifically, the correlation with shimmer was stronger compared to the other measurements. In aerodynamic measures, MFR and MPT showed a significant correlation with VHI-Total, VHI-Emotional, and SAIVP-14, but their correlation was poor. The results of this study suggested that subjective evaluation of self voice problems is meaningfully correlated with objective evaluations, but more data in the multidimensional voice assessment should be collected and analyzed for the reliability and validity of the voice handicap questionnaire.

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GK2A AMI를 이용한 한반도 식생건강지수 산출 (Retrieval of Vegetation Health Index for the Korean Peninsula Using GK2A AMI)

  • 이수진;조재일;류재현;김나리;김광진;손은하;박기홍;장재철;이양원
    • 대한원격탐사학회지
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    • 제38권2호
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    • pp.179-188
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    • 2022
  • 지구온난화는 기후변화를 야기하며 전지구적으로 이상기상 현상을 유발하고 있다. 우리나라에서도 폭염, 가뭄과 같은 이상기상 현상이 증가하고 있는 상황이다. 이상기상 감시를 위하여 지표면온도(Land Surface Temperature, LST), 온도상태지수(Temperature Condition Index, TCI), 식생활력지수(Normalized Difference Vegetation Index, NDVI), 식생상태지수(Vegetation Condition Index, VCI), 식생건강지수(Vegetation Health Index, VHI) 등의 위성자료가 활용되고 있다. TCI와 VCI를 이용하여 계산되는 VHI는 온도, 강수와 같은 기상 요인에 의한 식생 스트레스를 나타내며, 기후변화 상황에서 가뭄 평가에 주로 활용되고 있다. TCI, VCI는 날짜 및 장소에 따른 LST, NDVI의 과거 평년치를 참조해서 산출되기 때문에, 아직 2년여의 자료밖에 없는 천리안위성 2A호(GK2A) AMI (Advanced Meteorological Imager) 자료로부터 TCI, VCI, VHI를 산출하는 것은 현재로서는 쉽지 않은 일이다. 본 연구에서는 대안적인 방법으로 VIIRS (Visible Infrared Imaging Radiometer Suite) 센서의 LST, NDVI를 이용하여 GK2A의 VHI 산출 가능성을 모색하였다. GK2A와 VIIRS의 LST, NDVI는 상당히 높은 상관성을 보이기 때문에, GK2A에 존재하지 않는 과거 평년치를 VIIRS 자료로 대체하는 방식을 택하였다. 8일 간격으로 GK2A 격자에 해당하는 LST, NDVI의 최소·최대값 조견표를 구축하여 TCI, VCI, VHI를 산출하였고, 최근 우리나라 이상기상 현상에 대한 해석을 수행하였다. GK2A VHI는 2020년 3월과 6월의 폭염, 4월과 7월의 저온, 8월의 폭우 등으로 인한 식생 스트레스의 변화를 잘 표현하는 것으로 나타났지만, 미국 해양대기청(National Oceanic and Atmospheric Administration, NOAA)의 VHI 산출물은 그렇지 않았다. 본 연구에서 제시한 GK2A VHI는 향후 LST, NDVI의 과거 평년치에 대한 통계적으로 엄밀한 보완을 거친다면 폭염, 가뭄으로 인한 식생 스트레스 감시에 활용될 수 있을 것으로 사료된다.

교사 및 성악가의 VHI, V-RQOL, 음향학적 특성 비교 (VHI, V-RQOL, and vocal characteristics of teacher and singer)

  • 홍주혜;황영진
    • 한국산학기술학회논문지
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    • 제13권7호
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    • pp.3048-3056
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    • 2012
  • 본 연구의 목적은 교사 및 성악가에 대한 음성장애지수(VHI), 음성관련 삶의 질 평가(V-RQOL), 음향음성학적 평가에 대한 특성을 연구하였다. 본 연구는 56명(성대결절이 있는 교사 20명 및 성악가, 그리고 정상화자 16명)을 대상으로 하였다. 모든 대상자에게 VHI, V-RQOL를 평가하였고, 음향학적 평가는 CSL 4500(Kay Pantax, USA)으로 측정하였다. 21명의 대상자에게 VHI, VRQOL, CSL을 이용한 음향적 평가에 대한 검사-재검사를 위해 두 번 실시하였다. 본 연구의 자료처리는 SPSS 18.0(SPSS Inc, Chicago, IL)을 사용하였다. 본 실험 결과, VHI 및 V-RQOL 결과, 교사 및 성악가 집단의 신체적, 기능적, 정서적 점수가 정상집단에 비해 유의하게 높았다(p<0.05). 음향학적 특성은 기본주파수 관련 변수, 기본주파수 변이 관련 변수, 음성강도 변이 관련 변수, 잡음 관련 변수, 진전 관련 변수) 범주에서 실험집단이 정상집단에 비해 유의하게 높았다(p<0.05). 결론적으로 교사 및 성악가들은 신체-기능영역에서 자신의 음성문제를 심각하게 인식하는 것 같다.

음성장애가 있는 직업적 음성사용자와 비직업적 음성사용자의 음성장애 중증도와 유형에 따른 자기보고식 음성평가 차이 (Comparison of Self-Reporting Voice Evaluations between Professional and Non-Professional Voice Users with Voice Disorders by Severity and Type)

  • 김재옥
    • 말소리와 음성과학
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    • 제7권4호
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    • pp.67-76
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    • 2015
  • The purpose of this study was to compare professional (Pro) and non-professional (Non-pro) voice users with voice disorders in self-reporting voice evaluation using Korean-Voice Handicap Index (K-VHI) and Korean-Voice Related Quality of Life (K-VRQOL). In addition, those were compared by voice quality and voice disorder type. 94 Pro and 106 Non-pro were asked to fill out the K-VHI and K-VRQOL, perceptually evaluated on GRBAS scales, and divided into three types of voice disorders (functional, organic and neurologic) by an experienced speech-language pathologist and an otolaryngologist. The results showed that the functional (F) and physical (P) scores of K-VHI in Pro group were significantly higher than those in Non-pro group. As the voice quality evaluated by G scale got worse, the scores of all aspects except emotional (E) of K-VHI and social-emotional (SE) of K-VRQOL were higher. All scores of K-VHI and K-VRQOL in neurologic voice disorders were significantly higher than those in functional and organic voice disorders. In conclusion, professional voice users are more sensitive to their functional and physical handicap resulted by their voice problems and that goes double for the patients with severe and neurologic voice disorders.

MODIS VHI를 이용한 방글라데시 Pre-Kharif 시즌 농업가뭄의 평가 (Evaluating the Agricultural Drought for Pre-Kharif Season in Bangladesh using MODIS Vegetation Health Index)

  • 모하마드 캄루자먼;장민원;황세운;장태일
    • 한국농공학회논문집
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    • 제60권6호
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    • pp.55-63
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    • 2018
  • This paper aimed to characterize the spatial and temporal pattern of agricultural drought in Pre-Kharif season using Vegetation Health Index (VHI) and illustrated drought characteristics in Bangladesh during 2001-2015. VHI was calculated from TCI (Temperature Condition Index) and VCI (Vegetation Condition Index) derived from MODIS Terra satellite data, LST (Land Surface Temperature) and EVI (Enhanced Vegetation Index), respectively. The finding showed that all drought-affected areas were experienced by mild, moderate, severe and extreme droughts in several years of Pre-Kharif seasons. Significant drought events were found in the year of 2002 and 2013. On average, Chittagong district covered the largest drought area in all drought stages, and the fraction of drought area was the highest in Sylhet and Rangpur for Pre-Kharif season. Finally, overlaying annual VHI raster maps resulted in that the most vulnerable district to agricultural drought were Sylhet, Rangpur, and Mymensingh in the northern and eastern regions of Bangladesh.

파킨슨병 환자의 음성장애지수 및 음성관련 삶의 질 연구 (Voice Handicap Index and Voice-Related Quality of Life in Idiopathic Parkinson's Disease)

  • 유경;장인수;김락형
    • 동의신경정신과학회지
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    • 제24권2호
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    • pp.155-162
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    • 2013
  • Objectives : The purpose of this study is to evaluate the voice handicaps of the idiopathic Parkinson's Diseases (PD) and their voice-related quality of life. Methods : Voice handicap index-10 (VHI-10) and Voice related Quality of Life were completed by 17 idiopathic PD patients, and Unified Parkinson's Disease Rating Scale (UPDRS) part I, II, III were assessed. The relations between VHI-10, VRQOL and UPDRS scores were analysed. Results : VHI-10 score of PD patients was $14.35{\pm}8.07$ and VRQOL total score of PD patients was $59.12{\pm}20.25$, social-emotional $59.93{\pm}20.50$, physical function $58.58{\pm}21.77$. There were significant relations between VHI-10, VRQOL score and UPDRS II (activities of daily living). Conclusions : These results suggest that voice impairments affect the daily living of PD patients and their quality of lives.

식도발성 환자의 음향학적 특성과 음성장애지수의 상관성 (The Relationship between Acoustic Characteristics and Voice Handicap Index in Esophageal Speakers)

  • 장효령;심희정;신희백;고도흥;김현기
    • 말소리와 음성과학
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    • 제6권2호
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    • pp.115-121
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    • 2014
  • This paper investigates the relationship between acoustic characteristics and voice handicap index for 29 males with esophageal speakers. Acoustic characteristics were measured by using a sustained vowel /a/ three times. The stable vocalization for 2 seconds was analyzed by MDVP program. Specifically, relationships between four VHI scores (total, functional, physical, and emotional) and three acoustic characteristics (jitter, shimmer, and NHR) were investigated using the Pearson correlation coefficient. As results, we found no relationship between NHR and VHI scores. However, both jitter and shimmer had statistically significant correlations with all four VHI scores. This research will contribute to establishing a baseline related to speech characteristics in voice rehabilitation with esophageal speakers. Further research could be done to examine the overall quality of life survey, which is widely used as a subjective measure about voice for patients with esophageal speakers.

양성 후두 질환 환자의 후두미세 수술 전후 음성 장애 지수의 변화 (Change of Voice Handicap Index After Laryngeal Microsurgery for Benign Vocal Fold Lesions)

  • 김지희;최효근;박범정
    • 대한후두음성언어의학회지
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    • 제26권1호
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    • pp.34-39
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    • 2015
  • 후두 미세 수술을 받은 환자에서 수술 전과 후 전체적인 음성 장애 지수를 비교했을 때 모두 호전이 있는 것으로 나타났다. 영역별로는 기능적, 물리적 영역에서는 남녀간의 차이가 없었으나 감성적 영역에서는 여자보다 남자에서 수술 후 만족도가 큰 것으로 나타났다. 이번 연구를 통해 음성 장애 지수가 음성의 상태를 모두 대변할 수는 없지만 객관적인 음향, 공기역학적 검사로 평가할 수 없었던 음성 장애에 대한 환자의 인식 정도를 정량화하여 평가할 수 있는 편리한 도구임을 확인 할 수 있었다.

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