• 제목/요약/키워드: K-VHI

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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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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.

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.

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.

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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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.

전문직 음성사용자의 주관적 음성평가도구간의 비교 (Comparison of Patient's Subjective Rating Scales for Voice Evaluation in Professional Voice Users with Vocal Fold Lesions)

  • 김재옥;최성희;임성은;최재남;최홍식
    • 대한음성학회:학술대회논문집
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    • 대한음성학회 2007년도 한국음성과학회 공동학술대회 발표논문집
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    • pp.292-294
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    • 2007
  • This study was designed to compare the translated patient's subjective rating scales for voice evaluation (Voice Handicap Index; VHI, Voice-Related Quality of Life; V-RQOL, Voice Rating Score; VRS) into Korean, taken from 24 professional voice users diagnosed with organic voice disorders. First, the correlation amongh those scales were observed. Second, the correlation between the patient's subjective rating scales and acoustic measures (Jitter%, Shimmer%, NHR) were examined. Third, those scales were compared by clinician's objective scale (G in GRBAS scale). Results indicated that significant correlations among the patients' subjective rating scales and significant correlations of clinician's rating scale with jitter% and Shimmer%, but not with NHR were observed. In addition, there were significant correlations of G with VHI and VHI-P (one of subscale of VHI). However, none of acoustic measures were correlated with the patient's subjective rating scales.

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양성 성대 질환 환자의 후두 미세 수술 전후 음성 장애 지수 및 음성 분석의 유용성 (Validity of Voice Handicap Index and Voice Analysis following Laryngeal Microsurgery for Benign Vocal Cord Lesions)

  • 박영학;이정학;주영훈;박성신;방충일;김민식;조승호
    • 대한후두음성언어의학회지
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    • 제16권1호
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    • pp.23-27
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    • 2005
  • Background and Objectives : Voice disorders can cause problems in patients with benign vocal cord lesions emotionally, physically, economically and functionally. Neither subjective nor objective voice examinations can evaluate such factors adequately. The Voice Handicap Index (VHI) subjectively evaluates voice disorders in terms of physical, functional, emotional factors and measures the patient's perception of the impact of voice disorder. The purpose of this study is to evaluate the usefulness of VHI in the patients with benign vocal cord lesions. Materials and Method : The authors evaluated 37 patients who experienced laryngeal microsurgery for benign vocal cord lesions from september 2003 to August 2004. The VHI was used to measure the postoperative changes of the patient's perception and acoustic analysis and aerodynamic tests were also done. Statistical analysis was done using paired t-test and Pearson's correlation. Results : The VHI scores showed statistically significant reductions postoperatively. In acoustic analysis, jitter and shimmer had statistically significant reductions after surgery but noise-to-harmonics ratio did not. A statistically significant change in the average MFR and MPT perioperatively was found. The relationship between VHI and acoustic, aerodynamic analysis attained statistical significance. Conclusion : The VHI is a useful assessment tool to monitor the patient's self-perception of voice change after the surgery of benign vocal cord lesions. The VHI measurement, when combined with acoustic and aerodynamic analyses, will be helpful in comparing functional outcomes after voice surgery.

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생태가뭄분석을 위한 식생건강지수의 가중치 매개변수 추정 (Weighting Coefficient Estimation of Vegetation Health Index for Ecological Drought Analysis)

  • 원정은;최정현;이옥정;서지유;김상단
    • 한국습지학회지
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    • 제22권4호
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    • pp.275-285
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    • 2020
  • 본 연구에서는 2001년에서 2019년 기간 동안의 우리나라 주요 지점에서 원격으로 탐사된 정규화식생지수(Normalized Difference Vegetation Index, NDVI)와 지표면온도(Land Surface Temperature, LST)로부터 식생상태지수(Vegetation Condition Index, VCI), 열상태지수(Thermal Condition Index, TCI), 식생건강지수(Vegetation Health Index, VHI)를 추정한 후, 생태학적 가뭄의 영향을 평가할 목적으로 이들 지수들과 다양한 가뭄지수들 사이의 상관성이 분석된다. VCI와 TCI가 식생건강에 미치는 상대적 영향력은 지역에 따라 달라지는 것이 발견되었다. 우리나라 산림지역의 식생에 미치는 가뭄의 영향은 VCI보다는 TCI에서 더 분명하게 식별될 수 있었다. VCI와 TCI의 상대적인 영향력이 반영되어 추정된 VHI는 식생에 미치는 가뭄의 영향을 더 잘 설명할 수 있음이 제시된다.