• Title/Summary/Keyword: voice diagnosis

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A Study on the Acoustic Characteristics of the American Adults Using Phonetic System for Sasang Constitution (한국성인(韓國成人)의 사상체질음성분석기(絲狀體質音聲分析機)를 이용한 체질별(體質別) 음향특성(音響特性) 연구(硏究))

  • Shin, Mi-Ran;Kim, Dal-Rae;Yoo, Jun-Sang
    • Journal of Sasang Constitutional Medicine
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    • v.19 no.3
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    • pp.75-88
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    • 2007
  • 1. Objectives The purpose of this study was to objectively diagnose American male and female's production of two vowels /a, i/ by Sasang Constitution. 2. Methods It was analyzed the constitutional characteristics of the American adults voices with PSSC-2004. of 134 cases of vowels /a, i/ with a duration of $2.5{\sim}3$ seconds were inputted in PSSC-2004 and analyzed into 40 factors. 3. Results and Conclusions 1) APQ In the male group's production of vowel /a/, the Soyangin's APQ(l), APQ(3) and APQ(4) were significantly high compared with those of Taeumin and Soeumin. 2) Shimmer In the male group's production of vowel /a/, Soeumin's Octave1 Shimmer was significantly low compared with that of Taeumin and Soeumin. In the male group's production of vowel /i/, Soeumin's D-Shimmer was significantly low compared with that of Taeumin and Soeumin. In the female group's production of vowel /a/, the Soyangin's C-Shimmer was significantly high compared with that of Taeumin and Soeumin. 3) Octave In the male group's production of vowel /a/, the Soyangin's Octave3, Octave4, Octave5, Octave6 and Octave1 Ratio were significantly high compared with those of Taeumin and Soeumin. In the male group's production of vowels /a, i/, the Soyangin's Octave4 was significantly high compared with that of Taeumin and Soeumin. 4) Energy In the male group's production of vowel /a/, the Soyangin's Time Domain Total Sum /Time Domain Count, Freq Domain Total Sum /cnt(0), 0k-4k Total Sum, Dev., A(A#, C, E, D#, E, F#) tot E, and A(C,, D#, F#) Dev. were significantly high compared with those of Taeumin and Soeumin. In the male group's production of vowel /i/, the Soyangin's Time Domain Total Sum /Time Domain Count, Freq Domain Total Sum /cnt(0) and 0k-4k Total Sum, Dev. were significantly high compared with those of Taeumin and Soeumin. 5) Peak In the male group's production of vowels /a/ and /i/,, the Soyangin's Peak1 Ratio was significantly low compared with that of Taeumin and Soeumin. In the male group's production of vowels /a/ and /i/,, the Soyangin's Peak10 Ratio, Time Domain Peak Total/Total Energy Sum, Time Domain Peak Dev. and Total/Total Dev. Sum were significantly high compared with those of Taeumin and Soeumin. 6) It is necessary to expand the research of the acoustic analysis of American and Korean to other countries in the diagnosis of the Sasang Constitution by using the voice characteristics.

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Prevalence of Laryngo-pharyngeal Reflux(LPR) Related Symptoms at the Out Patient Department in Korea : One Week Survey (우리나라 이비인후과 외래환자의 인.후두 역류증상 발병빈도 조사(One Week Survey 결과))

  • Choi, Hong-Sik;Kim, Hyung-Tae;Seo, Jang-Soo;Wang, Soo-Gun;Cho, Jae-Sik;Choi, Gun;Hong, Ki-Hwan;Kim, Seok-Il;Lee, Won-Chul
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.11 no.1
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    • pp.87-97
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    • 2000
  • One week survey to investigate the prevalence rate and clinical characteristics of laryngopharyngeal reflux symptoms in Korea. The subject(n=7,704 patients) was newly enrolled patients at the out patient clinic in 90 ENT departments of resident training hospitals and 11 local clinics, which were voluntarily participated in the study 1) Twenty five percent of all enrolled patients has LPR-related symptoms or clinical findings from the examination by ENT specialists. 2) Among e name of LPR-related diagnosis, globus syndrome was e most common, and follows by reflux laryngitis, and chronic laryngitis. 3) Women was more prevalent than men, and it is common in 5th, 6th, and 7th decades, which seems to be related with aging process. 4) Most popular symtoms of LPR. were globus sensation, conic throat clearing, and hoarseness of unknown origin. 5) Aggravating factors of LPR-related symptoms were tiredness, mental stress, drink alcohol, cigarettes smoking, spicy food, and drinking coffee. 6) LPR-related symptoms were more common in professional voice users. 7) In past medical history, diseases of stomach and tonsillitis were most common.

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The Implementation of a PC GUI for a Multimedia Tele-Medical System based on ATM / B-ISDN (ATM/B-ISDN 통신망 기반의 멀티미디어 원격의료 정보시스템을 위한 PC용 GUI 구현)

  • 정연기;김영탁
    • Journal of Korea Multimedia Society
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    • v.1 no.1
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    • pp.45-55
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    • 1998
  • In the tele-medical system, the broadband network for multimedia telecommunication and the multimedia terminal equipment for the remote access of the tele-medical information are essential. Especially, the tele-medical terminal equipment should provide the multimedia GUI environment in order to support the similar medical process by the tele-medical system. In this paper, we present a multimedia GUI (Graphic User Interface) for a Multimedia Tele-Medical System (TeleMedi_GUI) based on ATM/B-ISDN. In the tele-medical system, one workstation is used for the multimedia data server that is supporting multiple client terminals that are connected by the ATM network. The client terminals are based on Multimedia Personal Computers, and provide the remote access environment of the tele-medical database. We also developed the remote access protocols among the clients and the server to access multimedia medical information of the multimedia server. With using the TeleMedi_GUI, the doctors can examine and treat patients efficiently, using image data like X-ray/CT and voice data such as the S-ray diagnosis. The result of this paper can be applied to the following areas: 1) the implementation of the advanced medical service system interconnecting the small-scale health center and general hospitals, 2) the development of a fully computerized medical information system within the hospital.

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A Basic Study on the Differential Diagnostic System of Laryngeal Diseases using Hierarchical Neural Networks (다단계 신경회로망을 이용한 후두질환 감별진단 시스템의 개발)

  • 전계록;김기련;권순복;예수영;이승진;왕수건
    • Journal of Biomedical Engineering Research
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    • v.23 no.3
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    • pp.197-205
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    • 2002
  • The objectives of this Paper is to implement a diagnostic classifier of differential laryngeal diseases from acoustic signals acquired in a noisy room. For this Purpose, the voice signals of the vowel /a/ were collected from Patients in a soundproof chamber and got mixed with noise. Then, the acoustic Parameters were analyzed, and hierarchical neural networks were applied to the data classification. The classifier had a structure of five-step hierarchical neural networks. The first neural network classified the group into normal and benign or malign laryngeal disease cases. The second network classified the group into normal or benign laryngeal disease cases The following network distinguished polyp. nodule. Palsy from the benign laryngeal cases. Glottic cancer cases were discriminated into T1, T2. T3, T4 by the fourth and fifth networks All the neural networks were based on multilayer perceptron model which classified non-linear Patterns effectively and learned by an error back-propagation algorithm. We chose some acoustic Parameters for classification by investigating the distribution of laryngeal diseases and Pilot classification results of those Parameters derived from MDVP. The classifier was tested by using the chosen parameters to find the optimum ones. Then the networks were improved by including such Pre-Processing steps as linear and z-score transformation. Results showed that 90% of T1, 100% of T2-4 were correctly distinguished. On the other hand. 88.23% of vocal Polyps, 100% of normal cases. vocal nodules. and vocal cord Paralysis were classified from the data collected in a noisy room.

Manufacture of 3-Dimensional Image and Virtual Dissection Program of the Human Brain (사람 뇌의 3차원 영상과 가상해부 풀그림 만들기)

  • Chung, M.S.;Lee, J.M.;Park, S.K.;Kim, M.K.
    • Proceedings of the KOSOMBE Conference
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    • v.1998 no.11
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    • pp.57-59
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    • 1998
  • For medical students and doctors, knowledge of the three-dimensional (3D) structure of brain is very important in diagnosis and treatment of brain diseases. Two-dimensional (2D) tools (ex: anatomy book) or traditional 3D tools (ex: plastic model) are not sufficient to understand the complex structures of the brain. However, it is not always guaranteed to dissect the brain of cadaver when it is necessary. To overcome this problem, the virtual dissection programs of the brain have been developed. However, most programs include only 2D images that do not permit free dissection and free rotation. Many programs are made of radiographs that are not as realistic as sectioned cadaver because radiographs do not reveal true color and have limited resolution. It is also necessary to make the virtual dissection programs of each race and ethnic group. We attempted to make a virtual dissection program using a 3D image of the brain from a Korean cadaver. The purpose of this study is to present an educational tool for those interested in the anatomy of the brain. The procedures to make this program were as follows. A brain extracted from a 58-years old male Korean cadaver was embedded with gelatin solution, and serially sectioned into 1.4 mm-thickness using a meat slicer. 130 sectioned specimens were inputted to the computer using a scanner ($420\times456$ resolution, true color), and the 2D images were aligned on the alignment program composed using IDL language. Outlines of the brain components (cerebrum, cerebellum, brain stem, lentiform nucleus, caudate nucleus, thalamus, optic nerve, fornix, cerebral artery, and ventricle) were manually drawn from the 2D images on the CorelDRAW program. Multimedia data, including text and voice comments, were inputted to help the user to learn about the brain components. 3D images of the brain were reconstructed through the volume-based rendering of the 2D images. Using the 3D image of the brain as the main feature, virtual dissection program was composed using IDL language. Various dissection functions, such as dissecting 3D image of the brain at free angle to show its plane, presenting multimedia data of brain components, and rotating 3D image of the whole brain or selected brain components at free angle were established. This virtual dissection program is expected to become more advanced, and to be used widely through Internet or CD-title as an educational tool for medical students and doctors.

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Clinical Application of Endoscopic Laser Assisted Supraglottic Partial Laryngectomy in Early Supraglottic Cancer (초기 상후두암종에서 레이저를 이용한 내시경하 상후두부분절제술의 적용)

  • Choi Jong-Duck;Kwon Kee-Hwan;Oh Joon-Hwan;Han Seung-Hoon;Lee Seung-Hoon;Choi Geon
    • Korean Journal of Head & Neck Oncology
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    • v.14 no.2
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    • pp.164-168
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    • 1998
  • Background: Supraglottis and glottis have a different embryologic origin. Supraglottic cancer is characterized by high incidence of cervical lymph node metastasis at initial diagnosis, and favored surgical management of the early supraglottic cancer was partial supraglottic laryngectomy, however the procedure resulted in frequent incidences of postsurgical aspiration and voice disabilities. Objectives: We retrospectively analyzed the problems and the advantages of the endoscopic laser assisted supraglottic partial laryngectomy as a part of surgical management for early supraglottic cancer. Materials and Methods: During the past nine years 25 cases of supraglottic cancer(Tl 10 cases, T2 15 cases) were treated by tracheotomy and laser assisted supraglottic partial laryngectomy(KTP532, 15 Watt, continuous type) and in 10 cases with cervical lymph node metastasis, they were additionally managed by neck dissection one week later, and all cases received postoperative irradiation therapy. Results: At present, 19 cases are alive with no evidence of disease. During the follow up period total of six cases(primary failure: three cases, nodal failure: three cases) were recurred. In relation to tumor staging, One of the 10 Tl cases and two of the 15 T2 cases recurred showing 88% locoregional recurrence rate for early supraglottic cancer. Postoperative com-plication included bleeding in three cases who were controlled by electrocautery under general anesthsia, one case of longstanding aspiration and two cases of laryngeal stenosis as a delayed complication. Conclusion: High control rate suggests that the endoscopic laser assisted supraglottic partial laryngectomy may be a good initial management method for early supraglottic cancer, however it is difficult to determine the resection margin, therefore, accurate tumor staging must be done prior to surgery. In order to prepare for postoperative bleeding, edema and aspiration, the tracheotomy must be performed prior to surgery.

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Dynamic Evaluation Methods for SMS Phishing Blocking App Based on Detection Setup Function (감지설정기능을 적용한 스미싱 차단앱의 동적 평가방법에 관한 연구)

  • Kim, Jang Il;Kim, Myung Gwan;Kwon, Young Man;Jung, Yong Gyu
    • Journal of Service Research and Studies
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    • v.5 no.2
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    • pp.111-118
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    • 2015
  • Although the development of mobile devices are made us a free life, they were displayed the subject of this financial crime and attacking forces in the other side. Among finance-related crime is become a serious crime that are targeting smartphones by SMS phishing, phishing, pharming, voice phishing etc. In particular, SMS phishing is increased according to phenomenon using the nature of a text message in the mobile. SMS phishing is become new crime due to the burden to the smartphone user. Their crime is also the advanced way from the existing fraud, such as making the malicious apps. Especially it generates loopholes in the law by a method such as using a foreign server. For safe from SMS phishing attacks, proactive pre-diagnosis is even more important rather than post responses. It is necessary to deploy blocking programs for detecting SMS phishing attacks in advance to do this. In this paper we are investigating the process of block types and block apps that are currently deployed and presenting the evaluation of the application of the detection block setting app.

A study of the Correlation of External laryngeal Size with the Fundamental frequency of the Larynx in Korean (한국인에서의 후두크기와 음성 기본주파수의 상관관계에 대한 연구)

  • 이승환;김성근;이형석;김선곤
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1993.05a
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    • pp.69-69
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    • 1993
  • The fundamental vocal frequency is produced by simple vibration of the whol length of the vocal folds and is one of the most important single parameters in determining the eventual characteristics of the voice. Authors measured the external laryngeal size, fundamental frequency in 3rd decades adults and about 10-year old children for use them as the base of diagnosis and treatment of laryngeal disease. Results were as follows: 1 In adults, mean external laryngeal size was 37.8$\pm$3.15 mm in male and 31.0$\pm$3.19 mm in female, and the mean fundamental frequency were 117.8$\pm$ 10.09 Hz in male and 220.26$\pm$13.75 Hz in female. (p <0.05) 3. In children, mean external laryngeal size was 25.67$\pm$4.53 mm in male and 27.28$\pm$2.77 mm in female, and mean fundamental frequency were 225.88$\pm$15.89 Hz in male and 239.25$\pm$15.92 Hz in female. (P <0.01) 5. In adults, the external laryngeal size was correlated with fundamental frequency and it was statistically significant.(r=0.48)

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Comparison between Diagnostic Results of the Sasang Constitutional Analysis Tool (SCAT) and a Sasang Constitution Expert (체질점수 복용첩수 내원회수 연령에 따른 사상체질진단툴(SCAT)과 전문가의 체질진단 일치도 연구)

  • Do, Jun-Hyeong;Nam, Ji-Ho;Jang, Eun-Su;Jang, Jun-Su;Kim, Jang-Woong;Kim, Young-Su;Kim, Na-Hye;Han, Soon-Man;Kim, Jong-Dug
    • Journal of Sasang Constitutional Medicine
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    • v.25 no.3
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    • pp.158-166
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    • 2013
  • Objectives Recently, Sasang Constitutional Analysis Tool (SCAT) was developed using face, body shape, questionnaire, and voice information. The purpose of this paper is to analysis the characteristics of SCAT in detail for the subjects whose Sasang Constitutional (SC) type was confirmed clearly. Methods 1) The SC types of 108 patients were diagnosed by an expert of Sasang constitutional medicine through the observation of improvements after taking more than 20 packs of herbal medicine prescribed 2) The diagnostic results of SCAT were acquired for the patients. 3) Comparison between diagnostic results of the SCAT and expert was performed according to SC probability difference, the number of packs of herbal medicine prescribed, the number of hospital visits, and age. Results 1) The concordance rate was 65.9% and 59.4% in the male and female groups, respectively. 2) Overall, the concordance rate increased as the SC probability difference increased. In case of more than 5% SC probability difference, it increased up to 71.0% and 66.7% in the male and female groups, respectively. 3) The concordance rate did not show any trend as the number of packs of herbal medicine prescribed and the number of hospital visits increased. 4) The higher concordance rate was observed in Taeeumin, Soyangin, and 20s ~ 40s groups of male patients, and in Soyangin, 20s, and 40s groups of female patients. Conclusions The strong and weak points of SCAT were observed and they will contribute to the improvement of SCAT performance.

Analysis of Clinical Indicators related to Pattern-Identification in Acute Cerebral Infarction Patient (급성기 뇌경색 환자에 있어 변증형별 유의한 임상지표의 분석)

  • Lee, Eun-chan;Hyun, Sang-ho;Kwak, Seung-hyuk;Woo, Su-kyung;Park, Ju-young;Jung, Woo-sang;Moon, Sang-kwan;Cho, Ki-ho;Park, Sung-wook;Ko, Chang-nam
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.13 no.1
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    • pp.33-42
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    • 2012
  • Object : The aim of this study was to assess the clinical indicators related to Pattern-Identification(PI) in acute cerebral infarction patients. Methods : We studied hospitalized patients within 30days after ictus, who admitted at Korean Medicine Center of Kyung-Hee University from January 2010 to October 2012.(n=290) Two Traditional Korean Medicine(TKM) physicians evaluated the patients independently and diagnosed PI. Inter-rater reliability was measured using simple percentage agreement and the Cohen's kappa(κ) coefficient. To assess the clinical indicators closely related to each PI, we analysed average score of each indicator in each group. Results : Simple percentage agreement of PI between raters was 64.83% and Cohen's kappa(κ) coefficient was 0.526(95% CI: 0.451-0.600). Inter-rater reliability level was fair to good. We analysed the clinical indicators in each group. Significant indicators for Fire-Heat Pattern(FHP) were reddened complexion and strong pulse power, and meaningful indicators for FHP were halitosis and thick tongue fur. Significant indicator for Dampness-Phlegm Pattern(DPP) was overweight and there was no meaningful indicator. Significant indicator for Yin-Deficiency Pattern(YDP) was dry tongue fur and meaningful indicator for YDP was thirst. There was no significant indicator for Qi-Deficiency Pattern(QDP) and pale complexion and faint low voice were meaningful indicators for QDP. Conclusions : This study reveals the significant and meaningful clinical indicators related to each Pattern-Identification in acute cerebral infarction patients. It will contribute to standardization of Korean Medical Diagnosis and Treatment in acute cerebral infarction patients.

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