• Title/Summary/Keyword: Speech and Language Therapy

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Research on Improvement of Patient Quality and Perception of Hospital Operation Effect after Medical Institution Certification - For Nursing Hospitals and Western Hospitals - (의료기관 인증 후 환자의 질 향상과 병원운영효과 인식도 조사연구 - 요양병원과 양방병원 대상 -)

  • Lee, Hye-Seung;Park, Hyun-Rin
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.7
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    • pp.559-570
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    • 2020
  • The purpose of this study was to classify the internal members of nursing hospitals and Western hospitals that received the certification system of medical institutions, and to examine the effect of certification on member satisfaction, job stress, hospital operation effect, and improvement of medical services. In nursing hospitals, the certification system was higher in member satisfaction, hospital operation effect, and medical service effect than in Western hospitals, and members of Western hospitals were higher in job stress. In both nursing hospitals and Western hospitals, the satisfaction of members, hospital operation effect, and medical service effect according to certification showed positive (+) results. It is believed that the effect of the certification system has been empirically high in nursing hospitals as mandatory certification from 2013. Therefore, this study aims to contribute to the efficiency of hospital management and improvement of patient satisfaction through continuous quality management of medical care by analyzing the effect of certification system on medical service improvement.

The Characteristics of Reading-related Skills in Poor Comprehenders, Poor Readers and Normal Readers in Hangul (읽기장애 유형에 따른 인지능력 특성 연구)

  • Park, Hyun-Rin
    • Journal of Digital Convergence
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    • v.13 no.3
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    • pp.295-304
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    • 2015
  • We assessed reading-related skills in children with reading comprehension difficulties ("Poor comprehenders"), word decoding difficulties ("Poor decoders") and normal readers, matched for age and nonverbal IQ. The reading-related skill tests used in our study are phonological processing, visual processing test, and receptive vocabulary test. The authors argue that children who had difficulty in reading comprehension had lower scores only on the phonological short-term memory test compared with normal readers, although their performance on receptive vocabulary and visual processing tests are comparable to normal readers. The results of our study revealed that poor decoders had lower scores on the phonological processing, visual processing, and receptive vocabulary tests.

Age-related Changes in Word Defining Abilities in Concrete and Abstract Nouns with Normal Elderly (노화에 따른 구체명사와 추상명사의 단어정의하기 능력 변화)

  • Kim, Soo Ryon;Kim, HyangHee
    • 재활복지
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    • v.21 no.3
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    • pp.187-207
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    • 2017
  • The purpose of this study was to explore the characteristics of defining concrete and abstract nouns for the elderly. A total of 382 elderly participated in this study and they were classified into four age groups (i.e., over 55 to under 64, over 65 to under 74, over 75 to under 84, and over 85 year-old group). They performed the word definition task, composed of five concrete and five abstract nouns. The total scores and numbers and ratio of core/supplementary meanings were compared among four elderly groups. The frequency and ratio of error types were also examined. The results showed that all four groups had statistically significant differences in total scores, numbers and ratio of core and supplementary meaning of concrete noun definition task. In addition, abstract noun definition performances revealed group differences except the two groups (over 75 to under 84 and over 85-year-old group). The oldest group showed a sharp increase in error production. The highest ratio of error types were personal experience in over 55 to under 64-year-old group, and over 65 to under 74 year-old groups; and for the target word repetition in over 75 to under 84 year-old group; and no response in over 85 year-old group. In conclusion, both concrete and abstract word defining abilities had age-related deterioration. This decline results from impairment in spreading semantic knowledge within semantic network, which is vulnerable to aging. Characteristics of word definition for elderly can provide basic information to understand various neurolinguistic disorders associated with age.

Comparison of Cognitive Response Time according to Ageing and Cognitive Ability (노화 및 인지 능력에 따른 인지반응시간 비교)

  • Kim, Eun-Mi;Kim, Jung-Wan
    • Therapeutic Science for Rehabilitation
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    • v.10 no.4
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    • pp.81-94
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    • 2021
  • Objective : Response time plays a prominent part in research on cognitive ability and the aging effect. This study aimed to identify the impact of cognitive ability on information processing by conducting cognitive response time (CRT) using a computer program. Methods : This study was conducted in 30 normal elderly (NE) and 30 elderly with amnestic MCI (aMCI), aged 65-79 years old living in Daegu and Gyeongbuk. The results were analyzed using the statistical analysis program R 4.0.2 (University of Auckland, New Zealand). Results : In the three sub-areas of CRT, the total response time showed a significant difference depending on group or age, and the error rate showed a significant difference depending on age or group in some sub-areas. In the aMCI group, the performance of CRT significantly correlated with that of the overall cognition and memory test. Conclusion : Information processing depending on aging or cognitive ability and the differential performance of processing speed could be observed through CRT. The performance of this test was found to be significantly correlated with that of the overall cognition and memory test. Therefore, CRT could be used meaningfully as a simplified tool to predict the initial cognitive disorder of the elderly in the community.

A Study on the Evaluation Method of Comprehension Task in Proverbs for the Elderly (노인용 속담 이해력 과제의 평가 방법에 대한 고찰)

  • Lee, Young-Min;Kim, Jung-Wan
    • Therapeutic Science for Rehabilitation
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    • v.10 no.4
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    • pp.25-38
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    • 2021
  • Objective : This study aimed to establish an analytic methodology that can objectively evaluate the proverb comprehension levels that vary based on the aging process. Method : This study recruited 70 normal elderly aged ≥ 65 years and performed proverb comprehension tasks using an explanation method. A scoring estimation method was designed on 3 and 5-point scales. The difficulty and discrimination levels were calculated based on the two scales, thereby selecting the final questions and evaluation scale. Results : First, the item discrimination index on the 5-point scale was relatively higher than that on the 3-point scale, and 10 items were finally selected. Second, in terms of proverb comprehension ability, the elderly group aged 70 ~ 84 years showed significantly lower performance than those aged 65 ~ 69 years. Additionally, subjects with ≥ 10 years of education showed significantly higher performance than those with 9 ≤ years of education. Third, the performance of the proverbs comprehension task negatively correlated with the reaction time of the executive function task. Conclusion : Proverb comprehension is a task that can distinctively show a deterioration of brain functions in line with the aging process even among the normal elderly group and therefore, can estimate the difference more effectively with an increase in the score of the evaluation scale.

Acoustic Analysis and Auditory-Perceptual Assessment for Diagnosis of Functional Dysphonia (기능성 음성장애의 진단을 위한 음향학적, 청지각적 평가)

  • Kim, Geun-Hyo;Lee, Yeon-Yoo;Bae, In-Ho;Lee, Jae-Seok;Lee, Chang-Yoon;Park, Hee-June;Lee, Byung-Joo;Kwon, Soon-Bok
    • Journal of Clinical Otolaryngology Head and Neck Surgery
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    • v.29 no.2
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    • pp.212-222
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    • 2018
  • Background and Objectives : The purpose of this study was to compare the measured values of acoustic and auditory perceptual assessments between normal and functional dysphonia (FD) groups. Materials and Methods : 102 subjects with FD and 59 normal voice groups were participated in this study. Mid-vowel portion of the sustained vowel /a/ and two sentences of 'Sanchaek' were edited, concatenated, and analyzed by Praat script. And then auditory-perceptual (AP) rating was completed by three listeners. Results : The FD group showed higher acoustic voice quality index version 2.02 and version 3.01 (AVQIv2 and AVQIv3), slope, Hammarberg index (HAM), grade (G) and overall severity (OS), values than normal group. Additionally, smoothed cepstral peak prominence in Praat (PraatCPPS), tilt, low-to high spectral band energies (L/H ratio), long-term average spectrum (LTAS) in FD group were lower than normal voice group. And the correlation among measured values ranged from -0.250 to 0.960. In ROC curve analysis, cutoff values of AVQIv2, AVQIv3, PraatCPPS, slope, tilt, L/H ratio, HAM, and LTAS were 3.270, 2.013, 13.838, -22.286, -9.754, 369.043, 27.912, and 34.523, respectively, and the AUC of each analysis was over .890 in AVQIv2, AVQIv3, and PraatCPPS, over 0.731 in HAM, tilt, and slope, over 0.605 in LTAS and L/H ratio. Conclusions : In conclusion, AVQI and CPPS showed the highest predictive power for distinguishing between normal and FD groups. Acoustic analyses and AP rating as noninvasive examination can reinforce the screening capability of FD and help to establish efficient diagnosis and treatment process plan for FD.

The Effect of Whole-Body Vibration Exercise for Life Care on Balance and Walking Ability in the Stroke Patient with Risk of Fall (라이프케어 증진을 위한 전신진동운동이 낙상위험 뇌졸중 환자의 균형 및 보행능력에 미치는 영향)

  • Han, Sang-Woo;Park, Woong-Sik;Moon, Kyung-Im;Ko, Dae-Sik
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.8
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    • pp.437-445
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    • 2020
  • The purpose of this study was to examine the effects of whole-body vibration exercise for life care on balance and walking ability in the fall risk stroke patients. 30 stroke patients were divided into two groups, Otago exercise group(n=15) and whole-body vibration exercise group(n=15). Walking ability were measured by 10m walking and Tinetti mobility test with stroke patients and balance ability were measured by BBS and TUG on comparative analysis of pre, post exercise. To compare differences before and after the program, a paired t-test was used and to compare differences between both groups, an independent samples t-test was used. As a result of the test, it was discovered that BBS and Tinetti mobility test of the both groups were increased statistically significantly and TUG and 10m walking test of the both groups were decreased statistically significantly. balance ability and walking ability of the whole-body vibration exercise group were improved statistically significantly in comparison with those of the Otago exercise group. The results of this study showed that whole-body vibration exercise for the improvement of life care had significant effects on improving BBS, TUG, 10m walking and Tinetti mobility test of fall risk stroke patients. Therefore, it is recommended to apply whole-body vibration exercise to improve life-care through improving balance ability and walking ability of fall risk stroke patients.

A Case Study on Vocal Aerobic Treatment Voice Therapy Development and Application for Classical Singers (성악가를 위한 VAT 음성치료 개발 및 적용 사례연구)

  • Yoo, Jae-Yeon;Lee, Ha-Na
    • 재활복지
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    • v.22 no.1
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    • pp.157-168
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    • 2018
  • The purpose of this study is to investigate the impact of semi-closed vocal training-based Vocal Aerobic Treatment on the voice improvement of soprano. Study subject was one soprano who appealed to the suffering of her voice problem due to vocal cord nodule. A study method of conducting pre/post acoustic evaluation and subjective voice evaluation to compare the measures was used; Vocal Aerobic Treatment was carried out twice a week for a total of 32 session. In the acoustic evaluation, MDVP (multi-dimensional voice program) and VRP (voice range profile) were used to evaluate the pitch, voice quality, and voice range; in the subjective voice evaluation, SVHI (singing voice handicap index) was used to assess voice satisfaction. As a result of the pitch evaluation, the soprano maintained a proper Fo. As a result of the voice quality evaluation, the jitter, shimmer, and the noise harmonic ratio numbers decreased compared to the numbers shown before the treatment. As a result of the voice range evaluation, the scope of the range was broadened, with the number of semitone increasing from 30 to 35. As for the subjective voice evaluation, the result of the total score obtained after the survey report divided by the number of questions showed a decrease from 3.6 to 0.6. The soprano herself reported of having a minor extent of a voice problem. The summary of the above results reflects that Vocal Aerobic Treatment is useful in the voice improvement of vocalists However, as this study is case research regarding the Vocal Aerobic Treatment effect on one soprano, further research on the treatment effect covering many other vocalists is necessary. Also, there is a need for follow-up studies regarding voice management and voice treatment program on not only the vocalists but also the voice users in many other professions.

A Case Report of Anomic Aphasia after Putaminal Hemorrhage Improved by Korean Medical Treatment Including Head Acupuncture (두침 요법을 포함한 한의 치료로 호전된 피각 출혈 후 명칭 실어증 치험 1례)

  • Kim, Ha-ri;Jeong, Hye-seon;Choi, Jeong-woo;Jeon, Gyu-ri;Park, Seong-uk;Park, Jung-mi;Ko, Chang-nam;Cho, Seung-yeon
    • The Journal of Internal Korean Medicine
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    • v.41 no.6
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    • pp.1200-1209
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    • 2020
  • Aphasia is a language disorder that results from brain damage and typically occurs after a stroke. The purpose of this case report was to describe the effects of Korean medical treatment on anomic aphasia after a putaminal hemorrhage. We used Korean medical treatment, including head acupuncture and herbal medicine (Hyungbangsabaek-san) therapy, on a patient who was admitted to the hospital for 19 days. The clinical symptoms were assessed with the Korean version of the Western Aphasia Battery (K-WAB), and quality of life was evaluated with Korean version of Stroke and Aphasia Quality of Life Scale-39 (K-SAQOL-39). After 19 days of treatment, the K-WAB scores were increased from 17 to 19 in the spontaneous speech score, from 7.55 to 9.85 in the comprehension score, from 9 to 9.4 in the speaking score, and from 5.8 to 9.7 in the naming score. The AQ score was increased from 78.7 to 95.9, and the K-SAQOL-3 score was increased from 2.64 to 3.26. In conclusion, the study findings suggested that Korean medical treatment could be an effective option for treating symptoms and improving quality of life in patients with aphasia after stroke.

Arithmetic Fluctuation Effect affected by Induced Emotional Valence (유발된 정서가에 따른 계산 요동의 효과)

  • Kim, Choong-Myung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.2
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    • pp.185-191
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    • 2018
  • This study examined the type and extent of interruption between induced emotion and succeeding arithmetic operation. The experiment was carried out to determine the influence of the induced emotions (anger, joy, and sorrow) and stimulus types (picture and sentence) on the cognitive process load that may block the interactions among the constituents of working memory. The study subjects were 32 undergraduates who were similar with respect to age and education parameters and were especially instructed to attend to induced emotion by imitation of facial expression and to make a correct decision during the remainder calculation task. In the results, the stimulus types did not exhibit any difference but there was a significant difference among the induced emotion types. The difference was observed in slower response time at positive emotion(joy condition) as compared with other emotions(anger and sorrow). More specifically, error and delayed correct response rate for emotion types were analysed to determine which phase the slower response was associated with. Delayed responses of the joy condition by sentence-inducing stimulus were identified with the error rate difference, and those by picture-inducing stimulus with the delayed correct response rate. These findings not only suggest that induced positive emotion increased response time compared to negative emotions, but also imply that picture-inducing stimulus easily affords arithmetic fluctuation whereas sentence-inducing stimulus results in arithmetic failure.