• 말소리와 음성과학
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• 제9권2호
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• pp.31-38
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• 2017

This study aims to examine the acoustic characteristics of Korean sibilant, especially aspiration in Korean fricatives (plain: /s/, fortis: /s'/) and affricates (aspirated: /$ts^h$/, lenis: /ts/, and fortis: /ts'/). Duration values (closure duration, frication duration, aspiration duration), center of gravity (COG) (of the total duration, of the two portions, in 10 ms), H1-H2 values (at the vowel onset) were examined in order to investigate the phonetic feature of aspiration in frication noise. This study further discusses how to define criteria for identifying aspiration in sibilant sounds by adopting 3 visual criteria for assessing aspiration. This visually-designated aspiration onset points are further matched with the COG decline points in 10 ms windows. The result shows that all the non-fortis sounds (/s/, /$ts^h$/, /ts/) contain aspiration, causing similar values of COG and H1-H2.

• 말소리와 음성과학
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• 제2권2호
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• pp.79-83
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• 2010

As bolus enters the pharynx during the swallow, laryngeal closure takes place by approximating the epiglottis to the arytenoid Laryngeal Closure Duration(LCD) is the duration of contact between the arytenoids and the epiglottis from the first contact to the last(Logemann et al, 2000). Epiglottic inversion continues pharyngeal swallow stage is completed in order to protect the airway. The purpose of this study is to measure layrngeal closure duration (LCD) in three groups of subjects: a) 10 stroke patients who aspirate before and during the swallow(aspirators), b) 10 stroke patients who do not aspirate during the swallow c)10 normal control subjects. Means and standard deviation of LCD was analyzed in both 5ml and 10 ml thin liquids using 100msec timer in videoflouroscopic swallowing examination. The mean for each group was 0.15 seconds shorter from aspirators to control group. There was a significant difference between aspirators and normal subjects for laryngeal closure duration during the swallow. Laryngeal closure duration after a stroke lead to aspiration. However, only one of this temporal problem may not be enough to aspiration.

• 말소리와 음성과학
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• 제3권1호
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• pp.135-143
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• 2011

This study evaluated the respiratory capacity of spastic cerebral palsy children who were grouped by GMFCS (Gross Motor Function Classification System) levels and identified the acoustic characteristics of three different types of Korean stops (stop consonants) which are needed for the temporal coordination of larynx and supra-larynx, in these children. Thirty-two children with dysarthria due to spastic cerebral palsy were divided into two subgroups: 14 children classified at GMFCS levels I~III were placed in Group 1 and 18 classified at GMFCS levels IV~V were placed in Group 11, and 18 children with normal speech were selected and placed in the control group. /a/ pronged phonation (sustained vowel /a/) and nine Korean VCV syllables were used. Examined acoustic characteristics were maximum phonation time (MPT) and closure duration and aspiration duration. The results were as follows: 1) The MPTs of the cerebral palsy (CP) groups, both Group I and Group II, were significantly shorter than those of the normal group. 2) The closure durations of the two CP groups were longer than those of the normal group for all 9 target syllables. 3) The aspiration durations of the two CP groups were longer than those of the normal group. 4) The closure duration of the normal and CP Group I was significantly different among tense, aspirated, and lax. However, the CP Group II was different from normal. 5) The aspiration duration of the normal and CP Group I was significantly different among aspirated, tense, and lax. However, the CP Group II was different from normal. 6) The place of articulation influenced less than the manner of articulation on closure and aspiration duration.

• 대한족부족관절학회지
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• 제9권1호
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• pp.38-41
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• 2005

Purpose: To evaluate the drainage effect of silk suture following aspiration of the bursa as an early treatment of chronic lateral malleolar bursitis. Materials and Methods: Thirteen cases, which have over two weeks of history and over one year of follow-up, were investigated. The average duration of follow-up was 16.4 months. The average symptom duration before introduction into this study was 7.8 weeks. With an aseptic technique, the aspiration of the bursa was done with 18G needle and syringe and then the insertion of silk suture through the aspiration needle was performed. The amount of drainage was identified two or three times in a week and stitch out was done at the cessation of drainage. Over one year follow-up, recurrence, infection, pain, and limitation of range of motion were investigated by telephone interview. Results: Redness around the insertion site of silk suture was found in all cases, but there was no development of active infection or recurrence. The average duration of treatment is 10.4 days. Conclusion: The drainage with silk suture following aspiration of the bursa is less invasive and very effective method in the early treatment of chronic lateral malleolar bursitis.

• 음성과학
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• 제8권3호
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• pp.209-224
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• 2001

The purpose of this study was to identify the acoustic properties of 9 word initial Korean plosives in the speech of adults with cerebral palsy. Normal adults and two groups of adults with cerebral palsy (athetoid group and spastic group) participated in this study. Speech material included monosyllabic CVC real word pairs. Among the various acoustic properties of plosives, the aspiration duration was measured. Adults with cerebral palsy exhibited different patterns of aspiration duration for triplets of Korean plosives compared to normal adults. In addition, the plosive production of spastic group was distinguished from that of athetoid group. Such acoustic characteristics of plosives of adults with cerebral palsy may negatively affect the intelligibility of their speech.

• Clinics in Shoulder and Elbow
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• 제8권1호
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• pp.31-35
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• 2005

The purpose of this study was to evaluate the drainage effect of silk suture following aspiration of the bursa as an early treatment of chronic olecranon bursitis. Eleven cases, which have over two weeks of history and over one year of follow-up, were investigated. The average duration of follow-up was 17.5 months. The average symptom duration was 1.8 months. With an aseptic technique, the aspiration of the bursa was done with 18gauge needle and syringe and then the insertion of silk suture through the aspiration needle was performed. The amount of drainage was regularly checked $2{\sim}3$ days interval and stitch out was done at the cessation of drainage. At the follow-up, recurrence, infection, pain, and limitation of range of motion were investigated by telephone interview. Redness around the insertion site of silk suture was found in all cases, but there was no active infection or recurrence. The results were satisfactory in all cases and the average time for recovery was 10.5 days. The drainage with silk suture following aspiration of the bursa is less invasive and very effective method in the early treatment of chronic olecranon bursitis.

• Clinical and Experimental Pediatrics
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• 제50권10호
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• pp.959-964
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• 2007

목 적 : 태변 흡인 증후군에 이환된 환아의 임상적 고찰과 분만 직후의 기관내 삽관을 통한 태변 흡입이 태변 흡인 증후군의 예후에 미치는 영향을 알아보고자 하였다. 방 법 : 2004년 1월부터 2006년 6월까지 2년 6개월 동안 제일 병원 신생아 집중 치료실에 입원한 환아 중에서 태변 흡인 증후군으로 이환된 44명을 대상으로 하였고, 이중 출생 직후 활발하지 않아 신생아 소생술 지침에 따라 기관 삽관을 통하여 태변 흡인을 시행하였으나 태변 흡인 증후군으로 이환된 군(12명)과 출생 직후 활발하여 기관 삽관을 하지 않았으나 태변 흡인 증후군으로 이환된 군(32명)으로 분류하여 각 군의 임상적 특징, 산과적 위험인자, 동반 질환, 치료 방법, 입원 기간 등을 의무기록을 통하여 후향적으로 비교 분석 하였다. 결 과 : 태변 흡인 증후군으로 이환된 환아에서 조기 흡인군과 조기 비흡인군에서 평균 재태 연령, 평균 출생 체중, 성별, 분만 방식 등은 통계적으로 유의한 차이가 없었으나 평균 아프가 점수는 조기 흡인군에서 1분, 5분 모두에서 유의하게 낮았으며, 동반 질환으로는 지속성 폐동맥 고혈압(13.6%), 신생아 경련(9.1%), 기흉 및 기종격(6.8%)에서 높은 빈도로 나타났다. 인공 호흡기 치료는 35예(79.5%)에서 시행하였고, 고빈도 진동성 환기법으로 치료 받은 환아는 조기 비흡인군에서 1예 있었으며 폐계면 활성제 치료를 받았던 환아는 조기 흡인군에서 1예(8.3%), 조기 비흡인군에서 5예(15.6%)로 조기 비흡인군에서 많았으나 통계적인 의미는 없었다. 기계적 환기 요법의 치료 기간과 입원 기간은 조기 비흡인군에서 길었으나 통계적으로 유의한 차이가 없었으나 총 산소 치료 기간은 조기 비흡인군에서 통계적으로 의미있게 길었다. 결 론 : 본 연구를 통해 태변 흡인 증후군 환아의 조기 비흡인군에서 폐 계면 활성제의 사용이 많았고, 기계적 환기 요법 치료 기간, 입원 기간 등이 길었지만 통계적으로 유의한 차이는 없었으며, 총 산소 치료 기간은 통계적으로 조기 흡인군에 비하여 유의하게 길었던 것으로 조사되었다. 그러므로 태변 착색아 중에서 활발한 군에 대한 더 세부적인 지침이 필요하다고 사료되며, 신경학적 후유증의 장기 예후에 대한 더 많은 연구와 추적 관찰이 필요하다.

• Clinical and Experimental Pediatrics
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• 제53권4호
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• pp.579-584
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• 2010

목 적: 해외귀국학생들의 수가 매년 증가하고 있다. 이들은 우리말의 체계가 완전히 확립되기 전 다른 언어의 영향을 받고 성장하여 우리말의 이해가 어렵고, 발음이 어눌하여 학업이나 교우관계에 문제가 발생하게 된다. 본 연구는 해외귀국학생의 한국어발음 특징을 음향, 음성학적 방법으로 분석하였다. 방 법: 우리말의 파열음(ㅂ, ㅃ, ㅍ, ㄷ, ㄸ, ㅌ, ㄱ, ㄲ, ㅋ) 9개를 VCV 형식으로 녹음하여 폐쇄구간과 기식구간 길이와 비율을 측정하였다. 해외귀국학생 군과 국내거주학생 간 파열음의 조음오류의 비율과 유형을 비교하고 조음위치와 발성유형에 따른 음향음성학적 특성을 분석, 비교하였다. 결 과: 해외귀국학생 군과 국내거주학생 군 간 조음오류 비율은 해외귀국학생 군 19.4%, 국내거주학생 군 2%로 나타났다. 해외귀국학생군의 발음 오류 중 가장 많이 나타난 유형으로 발성 유형의 오류는 경음화, 조음 위치의 오류는 비음화 이었다. 해외귀국초등학생 군이 국내거주 초등학생군 보다 모든 조음위치와 발성유형에서 파열음의 폐쇄구간, 기식구간 길이가 유의하게 길게 나타났다. 그러나 대상군간 폐쇄구간 대 기식구간의 길이의 비율을 비교한 결과 유의하지 않았다. 결 론: 해외귀국학생은 국내거주학생보다 파열음 산출에 조음 오류가 더 자주 일어나며 국내거주학생보다 각 조음위치에 따른 발성유형을 분류하여 정확한 발음을 찾아 산출하는 우리말 발화속도가 느리다는 것을 알 수 있었다. 해외귀국초등학생 발음의 음향음성학적 문제점을 이해하고 추후 해외귀국초등학생의 조음을 평가하는 객관적인 자료에 도움이 될 것이다.

• 대한기관식도과학회지
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• 제13권1호
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• pp.19-22
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• 2007

Background and Objectives: The Objective of this study was to compare the effectiveness of the needle aspiration method and the I&D method in the treatment of peritonsillar abscess. Materials and Methods: A prospective clinical study was performed on 83 patients. All the patients were hospitalized after random treatment with either I&D or needle aspiration alone, received the same intravenous antibiotic therapy. Among the 83 patients, 73 patients who could be observed for longer than 6 months and had not undergone a tonsillectomy during the follow-up period, were analyzed for treatment outcomes. Results: There was no statistically significant difference in the initial failure rate(p=0.572), the hospitalized days(p=0.956), the recurrence rate(p=0.531) for the needle aspiration(35 patients) and I&D groups(38 patients). But, The mean duration of fever were statistically different in the needle aspiration(1.51 hours) and I&D groups(3.05 hours) (p=0.031). Conclusion: Two methods are thought to be similar in effectiveness, except that duration of fever was longer in the I&D group than in the needle aspiration group. However, taking advantages of the needle aspiration method into consideration, the needle aspiration of peritonsillar abscess may be more appropriate than I&D as an initial method for peritonsillar abscess

• 음성과학
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• 제9권3호
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• pp.169-184
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• 2002

Korean has two types of voiceless alveolar fricatives: a non-tense fricative /$S^{h}$ and a tense fricative /s'/. Twenty native speakers of Korean produced five pairs of isolated words containing word initial $S^{h}V$ and /s'V/ sequences where V was any one of five (/a, e, i, o, u/) of Korean vowels. Acoustic measures such as duration, fricative noise prominent frequency, energy change of following vowel, and fundamental frequency at vowel onset were examined. Results showed that among the parameters, aspiration noise duration of /s'/ in mid and low vowel contexts was less than 21 ms. In a perception experiment, where only the aspiration noise interval of the /$S^{h}$/ tokens was incrementally reduced, some listeners shifted perception from /$S^{h}$/ to /s'/.