• 대한후두음성언어의학회지
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• 제26권1호
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• pp.40-45
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• 2015

Objectives:This study aims to investigate the correlation between the measurements of Praat as an acoustic evaluation and those of GRBAS and CAPE-V as perceptual rating tool respectively. Through this, it also tries to find out parameters to which attention should be paid when an evaluator, who is untrained in auditory-perceptual voice evaluation, conducts voice evaluation with objective tool. Materials and Methods:Voice samples of this study were 33 vocal polyp patients(23 males and 10 females) who visited our Department of Otorhinolaryngology. They sustained vowel voices of 'e' were recorded and acoustically analyzed. Results:As the results of correlation analysis between GRBAS and Praat measurements, G scale and R scale showed statistically significant correlation with Jitt, Shim and NHR. And it is found that B scale represented significant correlation with Jitt, S scale with Shim. As the results of analysis on correlation with CAPE-V and Praat measurements, OS scale and R scale showed statistically significant correlation with Jitt, Shim and NHR. B scale represented significant correlation with Jitt, S scale with Shim. Conclusion:Although, both GRBAS and CAPE-V were highly reliable, in comparison between CAPE-V and Pratt, more parameters that showed statistically significant correlation are observed, which implies that VAS has more potential to make detailed evaluation than ORD.

• 대한후두음성언어의학회지
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• 제33권2호
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• pp.103-109
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• 2022

Background and Objectives The Voice Perceived Present Control scale (VPPC) has been developed to provide better insight into patients' perceived control over their thoughts or behaviors related to voice disorders. The objective of the present study was to validate the Korean VPPC (K-VPPC) by evaluating its internal consistency and reliability. Materials and Method All items of the English VPPC were translated into Korean. Content validity was analyzed through three Delphi survey rounds by an expert panel (n=44) with active clinical and research experience in treating dysphonic patients. Twenty-three patients with a heterogeneous diagnosis of dysphonia and twenty-three gender-matched vocally normal controls (total n=46) were asked to complete the K-VPPC and the Korean Voice Handicap Index-10 (KVHI-10). Psychometric properties including internal consistency and reliability were evaluated to examine the appropriateness of cross-cultural use of K-VPPC. Results Cronbach's alpha coefficient of K-VPPC was 0.89 for dysphonic patients, indicating good internal consistency in clinical samples. Furthermore, patients with dysphonia scored significantly lower on the total score of K-VPPC and higher on voice handicap than the vocally normal controls. Spearman's correlation coefficients indicated an inverse and moderate association between the K-VPPC and all domains of KVHI-10 (Spearman's r=-0.44- -0.68). Conclusion The findings of the current study indicated that the K-VPPC is a valid and reliable tool for the assessment of perceived control in Korean patients with dysphonia. Therefore, the K-VPPC could be a useful and complementary tool for the comprehensive evaluation of dysphonia, thereby improving care in Korean patients with voice disorders.

• 말소리와 음성과학
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• 제11권3호
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• pp.69-76
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• 2019

본 연구는 성대에어로빅치료법(vocal aerobic treatment, VAT)이 음성장애 환자의 음성 개선에 미치는 효과에 대해 알아보았다. 연구대상은 후두스트로보스코피, 음성검사 상 음성장애로 진단된 20명(남 13명, 여 7명)이었다. 음향학적 평가는 CSL(computerized speech lab)의 MDVP(Multi-Dimensional Voice Program)와 VRP(Voice Range Profile)를 통해 평가하였다. 공기역학적 평가는 PAS(Phonatory Aerodynamic System)를 통해 평가하였다. MDVP를 통해 치료 전 후 기본주파수(Fo), 주파수변동률(Jitter), 진폭변동률(Shimmer), 소음대배음비(NHR)의 변화를 측정하였고, VRP에서는 치료 전 후 주파수 범위(Fo range), 강도범위(Energy range)를 측정하였다. PAS에서는 치료 전 후 폐활량(FVC), 최대연장발성시간(PHOT), 평균호기류율(MEAF), 성문하압(MPAP), 음성효율성(AEFF)의 변화를 알아보았다. 후두스트로보스코피에서는 치료 전 후 양측 성대의 규칙성, 대칭성, 점막파동, 진폭 변화 소견을 알아보았다. 음성치료는 총체적 음성치료 접근법 중 하나인 VAT 프로그램을 환자별로 주 1회 실시하였다. 환자별 평균 치료 회기는 6.5회였다. 연구결과, MDVP에서는 Jitter, Shimmer, NHR이 통계적으로 유의하게 감소하였다(p<.001, p<.01, p<.05). VRP 결과, 주파수 범위에서 Hz와 Semitones이 치료 후 유의미하게 향상하였다(p<.01, p<.05). PAS 결과, FVC, PHOT에서 유의미한 향상이 나타났다(p<.01, p<.001). 후두스트로보스코피 결과 치료 후 기능적 음성장애, 인후두역류질환, 양성성대점막질환군에서 성대소견이 정상범주에 해당하였다. 따라서 VAT 프로그램은 음성장애환자의 음향학적 공기역학적 후두스트로보스코피 측면에서의 음성 개선에 효과적인 것으로 나타났다. 차후 연구에서는 동일 집단의 음성장애 환자에게 VAT 적용 연구가 필요하다고 생각된다. 또한 객관적인 음성 개선뿐만 아니라 주관적 음성 개선을 알아볼 필요가 있다. 나아가 직업적 음성사용자를 대상으로 VAT 효과에 대한 적용연구가 필요가 있다.

• 산업경영시스템학회지
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• 제33권3호
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• pp.137-145
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• 2010

The objective of this paper is to evaluate the equilibrium price between PSTN and VoIP telephony services in the case of non-linear utility function. Currently there are two types of wired phone services we are known PSTN (Public Switched Telephone Network) and VoIP (Voice over Internet Protocol). The PSTN telephony which provide high quality service and VoIP which provides relatively low quality service form a vertically differentiated oligopoly. Therefore, the evaluation of the equilibrium price between PSTN and VoIP services is very important to wired phone service providers. The equilibrium price depends on the state of the service cost function has been proved different value. This paper was evaluated each equilibrium price for the state of the linear cost function and non-linear cost function. Subsequently, this paper analyzed the demand of both services and the equilibrium profit which can maximize the profit of both service providers.

• 재활복지공학회논문지
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• 제8권1호
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• pp.41-46
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• 2014

본 논문에서는 잡음 상황에서 강인한 음성 특성을 나타내는 TE (teager energy) 기반의 특징벡터를 이용한 음성 검출 알고리즘을 제안하였다. 입력 신호에 TEO (teager energy operator)를 적용하고, 이를 이용하여 음성 검출 알고리즘에서 우수한 성능을 보여주는 파워 스펙트럼 편차를 구하였다. 또한, 제안된 음성 검출 알고리즘의 성능 향상을 위하여 통계적 모델 기반의 우도비를 TE 기반의 파워 스펙트럼 편차의 가중치 요소로 적용하였다. 제안된 알고리즘의 성능 검증을 위해서 전체 오차율, ROC (receiver operating characteristics), PESQ (perceptual evaluation of speech quality)와 같은 객관적 실험을 수행하였다. 실험결과 5dB SNR 이하의 낮은 SNR을 갖는 비 정상 잡음 환경에서 제안한 음성 검출 알고리즘이 약 2.6%의 전체 오차율 감소와 약 0.053의 PESQ 점수 향상을 나타내었다.

• 디지털콘텐츠학회 논문지
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• 제18권6호
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• pp.1049-1056
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• 2017

본 연구는 스피치교육의 효과를 측정하는데 있어 화자의 목소리의 변화에 주목하였다. 본 연구에서는 스피치교육을 통해 얻게 되는 실질적 효과 중 목소리의 변화를 보다 가시적이고, 과학적으로 평가하고자 하였다. 연구결과 모든 학습자의 목소리에서 스피치교육 전과는 다른 객관적인 변화를 찾을 수 있었다. 학습자 모두 공명, 음색, 발음의 정확성, 휴지 등 다양한 목소리 요소에서 점진적 기술향상이 이루어졌다. 즉, 스피치교육을 받기 전보다 목소리가 풍부해지고 발음이 정확하고, 휴지를 잘 활용하는 안정화된 결과를 볼 수 있었다. 이 연구결과를 통해 스피치훈련을 통해 목소리의 변화가 나타날 수 있는지 분석하고, 스피치 학습자들이 스피치교육에 적극 임해 스피치실력 향상의 결과를 얻을 수 있을 것으로 기대된다.

• 대한후두음성언어의학회지
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• 제27권2호
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• pp.108-113
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• 2016

Background and Objectives : After thyroidectomy, many patients experience problems report such things as reduced voice range and vocal fatigue, swallowing problems without superior and recurrent laryngeal nerve injury. The purpose of this study was to evaluate voice and swallowing problems before and after thyroid surgery without laryngeal nerve injury. Materials and Methods : Ninety-three patients who underwent thyroidectomy without laryngeal nerve injury and completed the follow-up evaluations were studied between June 2013 and December 2015. Each evaluation was performed preoperatively, as well as 1 week, 1 month postoperatively. Analysis was performed including voice handicap index (VHI), dysphagia handicap index (DHI), and acoustic voice analysis. Results : Patients show significant variation of parameters in the fundamental frequency (F), maximal phonation time (MPT), shimmer, jitter and soft phonation index (SPI) early after operation, and most of them showed recovery of parameters after 1month of operation. Perceptive complaint of voice and swallowing also showed significant decreased after operation (p<0.005). After 1month of operation, MPT, highest frequency and frequency ranges still showed significant decreased parameters. Comparing acoustic and perceptive parameters of total thyroidectomy and lobectomy, there was no significant changes between them except highest frequency (p=0.042). Conclusion : The results from both subjective and objective evaluations show voice and swallowing disturbance after thyroidectomy even in the absence of laryngeal nerve and provide patients information about the recovery process after surgery. Highest frequency parameter showed most significant changes after operation.

• 대한한방내과학회지
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• 제29권2호
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• pp.413-420
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• 2008

Objective : To investigate the therapeutic effect of scalp acupuncture on dysarthria after stroke. Methods : A-B model in single subject research. The experimental group of 7 members received scalp acupuncture and the control group of 5 nothing for dysarthria itself. Five single vowels were recorded by voice recorder and measured for 1st & 2nd formant. By the formants, a vowel space was made according to each one of the patients. Praat program was used for evaluation. Results : 4 cases in the experimental group showed significant change and just 1 case of the none-operated group got better. Conclusion : In this study, it's proven that acupuncture treatment might have positive efficacy on dysarthria cases. At this moment, more clinical reports are needed for objective oriental medical study.

• 한국ITS학회 논문지
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• 제10권4호
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• pp.71-77
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• 2011

본 논문에서는 고품질 모바일 VoIP 음성통신에 대한 객관적인 QoS를 제공하는 대화음질 측정시스템을 구현하였다. 대화음질 측정을 위해서 VoIP로 연결된 두 대의 스마트폰에 에코 및 잡음 제거, 음성 인코딩 및 디코딩, RTP (Real-TimeProtocol)을 적용한 패킷 생성, 지터버퍼 콘트롤, LC (Loss Concealment)를 포함한 POS (Play-out Schedule)로 구성된 VoIP음성 통화시스템을 구현하였다. 대화음질 측정 시스템은 VoIP로 연결된 두 스마트폰의 마이크, 그리고 스피커와 연결되어 각 화자별로 음성신호를 녹음한 후에, 녹음된 음성신호를 이용하여 CE (Conversational Efficiency), CS (Conversational Symmetry) 및 PESQ (Perceptual Evaluation of Speech Quality)를 측정하고, CE-CS-PESQ에 대한 상관관계를 측정한다. 본 논문에서는 다양한 SNR, IP 네트워크망 변동에 따른 지연, 손실 변화에 따른 CE, CS, PESQ를 측정하여 대화음질 측정시스템을 검증하였다.

• 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.