• 말소리와 음성과학
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• 제3권4호
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• pp.23-31
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• 2011

This paper examines the production patterns of the acquisition of coda consonants in monosyllabic words in English-speaking children with cochlear implants. The data come from the transcribed speech of children with cochlear implants. This study poses three questions. First, do children with cochlear implants acquire onset consonants earlier than codas? Second, do children's productions have a bimoraic-sized constraint that maintains binary feet? Third, what patterns emerge from production of coda consonants? The results revealed that children with cochlear implants acquire onset consonants earlier than codas. With regard to the bimoraic-sized constraints, the productions of vowel type (i.e., monomoraic and bimoraic) were more accurate for monomoraic vowels than bimoraic ones for some children with cochlear implants, although accuracy in vowel productions showed high proportion regardless of vowel types. The variations of coda production exhibited individual differences. Some children produced less sonorant consonants with high frequency and others produced more sonorant ones. The results of this study were similar to those pertaining to children with normal hearing. In the process of coda consonant acquisition, the error patterns of prosody-sensitive production may be regarded as articulatory challenges to produce higher-level prosodic structures.

• 말소리와 음성과학
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• 제2권3호
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• pp.171-178
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• 2010

This study examined the relationship between speech intelligibility and comprehensibility for hearing impaired children with cochlear implants. Speech intelligibility was measured by orthographic transcription method for acoustic signal at the level of words and sentences. Comprehensibility was evaluated by examining listener's ability to answer questions about the contents of a narrative. Speech samples were collected from 12 speakers(age of 6~15 years) with cochlear implants. For each speaker, 4 different listeners(total of 48 listeners) completed 2 tasks: One task involved making orthographic transcriptions and the other task involved answering comprehension questions. The results of the study were as follows: (1) Speech intelligibility and comprehensibility scores tended to be increased by decreasing of severity. (2) Across all speakers, the relationship was significant between speech intelligibility and comprehensibility scores without considering severity. However, within severity groups, there was the significant relationship between comprehensibility and speech intelligibility only for moderate-severe group. These results suggest that speech intelligibility scores measured by orthographic transcription may not accurately reflect how well listener comprehend speech of children with cochlear implants and therefore, measures of both speech intelligibility and listener comprehension should be considered in evaluating speech ability and information-bearing capability in speakers with cochlear implants.

• 임상간호연구
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• 제21권2호
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• pp.243-251
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• 2015

Purpose: The aim of this study was to develop an educational program for the children's guardian with cochlear implants in order to provide knowledge and information about cochlear implants. Methods: The educational program was developed based on a literature review, potentially relevant website analysis, and validation by an expert group. Two out of twenty-two educational items under four domains that had item-level content validity index (CVI) greater than 0.8 by the ten experts were finally selected and used. After the children's guardian participated in this educational activity through a specially designed booklet and DVD, the effectiveness of the program was evaluated. Results: A total of 8 children's guardian participated in the program. Their knowledge levels significantly increased after participating the program (mean $15.0{\pm}3.02$ vs. $19.0{\pm}0.93$, Z= 2.371, p=.018). Satisfaction levels with the program was high, $4.1{\pm}0.87$ out of 5. Conclusion: This newly developed educational program for the children's guardian with cochlear implants is proved to be effective and can be used in nursing practice. In addition, the participants seemed to be satisfied with the program. Furthermore, this program may also improve the effects of adult with cochlear implants.

• 말소리와 음성과학
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• 제6권2호
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• pp.89-96
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• 2014

This study measured speech intelligibility in relation to the vowel space area and the perception of the listener through acoustic analysis of children who had received cochlear implants. It also provided basic data in the evaluation of speech intelligibility by analyzing the correlation between the vowel space area and speech intelligibility. As a research method, the vowel space area was analyzed by obtaining the value of $F_1$, $F_2$ in children three years after receiving cochlear implants, and compared them to normal children by measuring speech intelligibility through interval scaling. A product-moment correlation analysis was conducted to investigate the correlation. Results showed that the vowel space area of the children who had received cochlear implants was significantly different from that of the normal children, though their speech intelligibility showed similar points to those of the normal children. The results of the correlation analysis on the vowel space area and speech intelligibility showed no significant correlation. Therefore, the period of improving intelligibility after receiving cochlear implants and the objective standards of the vowel space area could be established. In addition, the acoustic rating was required to increase the accuracy of the objective measurement in the evaluation of speech intelligibility.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1991년도 추계학술대회
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• pp.30-33
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• 1991

The object of speech processor for cochlear implants is to deliver speech information to the central nerve system. In this study we have presented the method which simulate speech processing and coding strategy for cochlear implants and simulated two different processing methods to the 12 adults with normal ears. The formant sinusoidal coding was better than the formant pulse coding In the consonant perception test and learning effects.(p < 0.05)

• 음성과학
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• 제15권1호
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• pp.87-98
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• 2008

This study compares the pitch production of children using cochlear implants (CI) with that of children with normal hearing. Twenty subjects from six to eight years old participated in the study. Three kinds of sentences were read and analyzed using Visi-Pitch $\blacktriangleright$(KAY Elemetrics, Model 3300). There were no considerable differences between the two groups regarding pitch, mean fundamental frequency (F0) and pitch range. In the cases of the slope value of F0 and duration, however, there were significant differences. Thus, it is concluded that duration and pitch control can be crucial factors in determining the intonation treatment of the children with cochlear implants.

• 대한두개안면성형외과학회지
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• 제20권5호
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• pp.319-323
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• 2019

Cochlear implant extrusion, which is a common complication of cochlear implants, is generally repaired by a well visualized soft-tissue flap. A 61-year-old female patient with a medical history of schizophrenia who had a skin ulcer that caused cochlear implant extrusion, but that would be a stronger statement was referred to our department for removal of the implant and reconstruction of the resultant scalp defect. Accordingly, the broad defect was covered via rotation of a temporoparietal fascia flap (TPFF) using the superficial temporal artery, with the pedicle in the preauricular region as the pivot point. Coverage of TPFF was achieved with a split-thickness skin graft using the scalp as the donor site, which led to a quick recovery after the operation and satisfactory results in terms of aesthetics. This case suggests that a TPFF might be used as a flexible flap with low donor site morbidity for reconstructing cases of cochlear implant extrusion accompanied by a large full-layer scalp defect.

• 말소리와 음성과학
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• 제3권1호
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• pp.117-123
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• 2011

Most individuals with hearing impairment have difficulty in understanding speech in noisy situations. This study was conducted to investigate sentence recognition ability using the Korean Standard-Sentence Lists for Preschoolers (KS-SL-P2) in pre-school age children with cochlear implants and hearing aids. The subjects of this study were 10 pre-school age children with hearing aids, 12 pre-school age children with cochlear implants, and 10 pre-school age children with normal hearing. Three kinds of signal-to-noise (SNR) conditions (+10 dB, +5 dB, 0 dB) were applied. The results for all pre-school age children with cochlear implants and hearing aids presented a significant increase in the score for sentence recognition as SNR increased. The sentence recognition score in speech noise were obtained with the SNR +10 dB. Significant differences existed between groups in terms of their sentence recognition ability, with the cochlear implant group performing better than the hearing aid group. These findings suggest the presence of a sentence recognition test using speech noise is useful for evaluating pre-school age children's listening skill.

• 말소리와 음성과학
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• 제3권1호
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• pp.125-134
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• 2011

The current study investigated the effects of experience of deaf speech, severity of speaker's articulation, and linguistic cues on speech intelligibility of congenitally deafened adults with cochlear implants. Speech intelligibility was judged by 28 experienced listeners and 40 inexperienced listeners using a word transcription task. A three-way (2 $\times$ 2 $\times$ 4) mixed design was used with the experience of deaf speech (experienced/inexperienced listener) as a between-subject factor, the severity of speaker's articulation (mild to moderate/moderate to severe), and linguistic cues (no/phonetic/semantic/combined) as within-subject factors. The dependent measure was the number of correctly transcribed words. Results revealed that three main effects were statistically significant. Experienced listeners showed better performance on the transcription than inexperienced listeners, and listeners were better in transcribing speakers who were mild to moderate than moderate to severe. There were significant differences in speech intelligibility among the four different types of cues, showing that the combined cues provided the greatest enhancement of the intelligibility scores (combined > semantic > phonological > no). Three two-way interactions were statistically significant, indicating that the type of cues and severity of speakers differentiated experienced listeners from inexperienced listeners. The current results suggested that the use of a combination of linguistic cues increased the speech intelligibility of congenitally deafened adults with cochlear implants, and the experience of deaf speech was critical especially in evaluating speech intelligibility of severe speakers compared to that of mild speakers.

• 대한의용생체공학회:의공학회지
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• 제28권2호
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• pp.205-211
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• 2007

A novel envelope extraction algorithm for speech processor of cochlear implants, called adaptation algorithm, was developed which is based on a adaptation effect of the inner hair cell(IHC)/auditory nerve(AN) synapse. We achieved acoustic simulation and hearing experiments with 12 normal hearing persons to compare this adaptation algorithm with existent standard envelope extraction method. The results shows that speech processing strategy using adaptation algorithm showed significant improvements in speech recognition rate under most channel/noise condition, compared to conventional strategy We verified that the proposed adaptation algorithm may yield better speech perception under considerable amount of noise, compared to the conventional speech processing strategy.