• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.32 no.2
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• pp.51-55
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• 2021

There are several lasers available for office-based or suspension microlaryngoscopy laser procedures in the treatment of laryngeal diseases. Each has advantages and disadvantages given the depth of penetration per unit of power, absorption in water, spectral absorption characteristics, mode of delivery, safety, and cost. It is important to note that while the proper selection of indication of treatment based on a laser wavelength is critical, of equal importance is selecting the appropriate power setting, focal length (or spot size), and time of exposure. The photoangiolytic lasers precisely target hemoglobin within the microcirculation of the highly vascularized tissue and may have better hemostatic effects and preservation of surrounding normal tissue than the CO₂ laser. Although the choice of laser is purely theoretical and cannot be accurately concluded which parameters of laser (wattage and pulse width) were best to use, photoangiolytic laser surgery is safe and effective for specific laryngeal lesions. In this review, indications for photoangiolytic laser procedures for various laryngeal diseases, laser settings and surgical techniques for specific laryngeal lesions including sulcus vocalis, laryngeal dysplasia, and recurrent respiratory papillomatosis will be introduced. Pros and cons of in-office laser surgery using photoangiolytic laser and flexible CO₂ laser will also be addressed.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.33 no.4
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• pp.91-98
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• 2022

Objectives: Comprehensive behavioral intervention for tics (CBIT) is effective in children with chronic tic disorders. This study aimed to assess the effect of group-based CBIT (group-CBIT) on tic severity and comorbid symptoms. We compared the efficacy of group CBIT with that of a control. Methods: Thirty children with chronic tic disorder or Tourette's disorder were enrolled in this study. Eighteen were assigned to the group-CBIT for eight sessions, and 12 were assigned to the control group. Tics and comorbid symptoms were assessed pre- and post-intervention using the Yale Global Tic Severity Scale (YGTSS), Premonitory Urge for Tics Scale, attention-deficit hyperactivity disorder Rating Scale-IV, Children's Yale-Brown Obsessive-Compulsive Scale, and the Korean-Children Behavioral Checklist. We compared the pre- and post-intervention results of each group and determined the difference in the pre- and post-intervention results between intervention and the control group. Results: The YGTSS motor and vocal tic interference, global impairment, and global severity scores decreased in the intervention group only. Group CBIT was superior in reducing the motor tic interference, impairment score, and global severity score to the control group. Conclusion: The group-CBIT showed an improvement in tic symptoms, especially in reducing the level of interference and impairment of tics.

• Korean Journal of Head & Neck Oncology
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• v.38 no.1
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• pp.25-29
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• 2022

Parathyroid carcinoma is very rare malignant neoplasm, accounting for less than 0.005% of all cancers. Most parathyroid carcinoma is a functioning tumor that causes hyperparathyroidism, leading to hypercalcemia. We report a parathyroid carcinoma case that was suspicious for spontaneous infarction of cancer, leading to resolution of hypercalcemia. A 29-year-old male visited our hospital presenting with right neck swelling and pain. He has been experiencing frequent urolithiasis for four years but laboratory tests showed normal serum calcium level. Right vocal cord paresis was identified with laryngoscopy. Ultrasonography revealed a 3.7 × 3.5 cm mass in the right thyroid containing a focal cystic portion. Computed tomography confirmed the presence of a low-density right thyroid mass. Right thyroid lobectomy was performed and pathological evaluation revealed parathyroid carcinoma with central necrosis. We report this very rare case with a literature review.

• Journal of Daesoon Thought and the Religions of East Asia
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• v.2 no.1
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• pp.57-83
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• 2022

Numbers structure reality and define the way people live. Both in Daoism and in Daesoon Jinrihoe they signify key concepts, notably the cardinal numbers from one through nine that classify different dimensions of the cosmos. Beyond these, the number twenty-four plays an important role. In a temporal mode, it marks the divisions or seasonal periods of the year. Consisting of fifteen days each, these periods signal (and are named after) changes in dominant weather patterns and the position of the sun. Generally activated in the body through particular seasonal activities and dietary prescriptions, in Daoism they are also the root of a series of healing exercises and certain refinement practices of internal alchemy. In Daesoon Jinrihoe, moreover, they are activated by chanting a specific incantation that invokes the twenty-four divine rulers of the divisions, originally a group of Tang Dynasty officials that in nature and function resemble the spirit generals of the early Celestial Masters. Beyond this, the number twenty-four also applies to space. Not unlike the twenty-eight lunar stations or mansions, traditional cosmology acknowledges twenty-four directions, made up of six constellations each in the four cardinal directions, complete with starry deities and divine generals. Their powers are activated with the help of written characters rather than vocal incantations, using techniques common both in Daoism and Daesoon Jinrihoe.

• Proceedings of the Korea Information Processing Society Conference
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• 2010.04a
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• pp.494-497
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• 2010

본 논문에서는 $C_2H_5OH$를 주성분으로 하고 있는 알코올량에 따른 음성학적 분석 요소값의 변화를 측정하였다. 이를 위해 알코올 섭취량의 변화를 측정하고 다양한 음성 분석기법을 적용한 실험 과정을 수행하였다. 따라서 본 연구의 결과를 토대로 다양한 환경에 용이하게 쓰일 수 있도록 알코올 섭취와 관련된 분야에 적용 가능한 실험 절차를 수행하였다. 따라서 본 논문에서는 음성 분석 요소의 Pitch값과 Shimmer 및 Jitter에 대해 분석을 수행하였으며 실험 결과를 통해 알코올 섭취량이 음성에 미치는 영향을 분석하였다. 최종적으로 실험에 의해 제안한 방법의 유용성을 입증하였다.

• International Journal of Computer Science & Network Security
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• v.23 no.4
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• pp.15-24
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• 2023

One of the objectives and aspirations of scientists and engineers ever since the development of computers has been to interact naturally with machines. Hence features of artificial intelligence (AI) like natural language processing and natural language generation were developed. The field of AI that is thought to be expanding the fastest is interactive conversational systems. Numerous businesses have created various Virtual Personal Assistants (VPAs) using these technologies, including Apple's Siri, Amazon's Alexa, and Google Assistant, among others. Even though many chatbots have been introduced through the years to diagnose or treat psychological disorders, we are yet to have a user-friendly chatbot available. A smart generative cognitive behavioral therapy with spoken dialogue systems support was then developed using a model Persona Perception (P2) bot with Generative Pre-trained Transformer-2 (GPT-2). The model was then implemented using modern technologies in VPAs like voice recognition, Natural Language Understanding (NLU), and text-to-speech. This system is a magnificent device to help with voice-based systems because it can have therapeutic discussions with the users utilizing text and vocal interactive user experience.

• Phonetics and Speech Sciences
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• v.16 no.1
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• pp.11-16
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• 2024

The fundamental frequency (f0), representing an acoustic measure of vocal fold vibration, serves as an indicator of the speaker's emotional state and language-specific pattern in daily conversations. This study aimed to examine the f0 distribution in an English corpus of spontaneous speech, establishing normative data for American speakers. The corpus involved 40 participants engaging in free discussions on daily activities and personal viewpoints. Using Praat, f0 values were collected filtering outliers after removing nonspeech sounds and interviewer voices. Statistical analyses were performed with R. Results indicated a median f0 value of 145 Hz for all the speakers. The f0 values for all speakers exhibited a right-skewed, pointy distribution within a frequency range of 216 Hz from 75 Hz to 339 Hz. The female f0 range was wider than that of males, with a median of 113 Hz for males and 181 Hz for females. This spontaneous speech corpus provides valuable insights for linguists into f0 variation among individuals or groups in a language. Further research is encouraged to develop analytical and statistical measures for establishing reliable f0 standards for the general population.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.14 no.2
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• pp.88-93
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• 2003

Whether respiratory muscle training is of benefit to the singing students is controversial. The purpose of the study is to investigate pulmonary function and the maximal inspiratory(MIP) and expiratory pressure(MET), and maximum phonation time in five female singing students before and after the specially programmed respiratory muscle training during 2 months. All singing students had average 4.8 years of formal classical voice training. Respiratory muscle training machine (Ultrabreath) was used to train respiratory muscle. Pulmonary function test data on simple pulmonary function, flow volume curve, static lung volumes are obtained from Vmax 6200. The MIP and MEP were measured using Spirovis, and the MPT were measured using hand-held stopwatch. Any pulmonary function test variables are not changed after respiratory muscle training. However, MIP and MEP were significantly increased between before and after respiratory muscle training. MPT increased significantly after training, compared to the pre-trained. MIP, MEP, and MPT after training in female singing students were 26%, 25% and 33% higher than those before training. The result indicated that the specially programmed respiratory muscle training is beneficial to improve respiratory muscle strength and vocal function without an increment in pulmonary function.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.14 no.2
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• pp.98-103
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• 2003

Background and Objectives : Although many studies have examined the effect of drinking on voice change, its cause and degree remain unclear. Since voice change occurs more frequently the day following drinking, rather than immediately afterwards, we examined whether the voice change was correlated with reflux laryngitis due to gastroesophageal motor disturbances. Subjects and Methods : For this study, 10 patients were selected who had neither voice change nor symptoms of reflux laryngitis at baseline (male : female=5 : 5, mean age=28 years old) They were subjected to psychoacoustic, acoustic, and aerodynamic tests and video stroboscopy at 4:00 P.M. the day before drinking (test 1), at 8:00 A.M. (test 2) and 4:00 P.M. (test 3) on the following day. On the day of drinking, the subjects had to drink more than their usual amount of Soju(Korean liquor) and were not allowed to talk much. The stroboscopy findings were quantified using the PC Belafsky score. Results : The laryngeal response to gastric reflux after drinking was compared between tests 1 and 2. In both tests, laryngeal edema and injection were observed on video stroboscopy. The psychoacoustic test detected more severe hoarseness in test 2 than in test 1. In addition, the acoustic test detected a mild increase in both jitter and shimmer. However, the differences between tests 2 and 3, which were performed when there was reduced or no gastric reflux, were not significant. Conclusions : Drinking may cause gastric reflux, which produces reversible voice change by irritating the vocal cords and larynx. Therefore, reflux laryngitis should be suspected in a patient whose voice changes markedly after drinking.

• Korean Journal of Bronchoesophagology
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• v.2 no.1
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• pp.111-119
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• 1996

The medical records of 87 patients with thyroid nodule treated from May 1992 to February 1996 were retrospectively reviewed to assess complication with age, sex, pathologic classification, location of lesions, and surgical procedures. The overall rate of complication were observed 10(11.5%) in thyroid surgery. The most common complication was transient hypoparathyroidism, which occurred in 6(6.9%) of 87 patients. The 2(2.3%) patients experienced Permanent hypoparathyroidism and each 1(1.1%) patient was reported in transient recurrent laryngeal nerve paralysis and hematoma.. Well-performed thyroid surgery usually produces few complications. More extensive resections, involving bilateral thyroidectomy are associated with a higher incidence of postoperative morbidity, in particular vocal cord paralysis and hypoparathyroidism, than procedures that consist essentially of unilateral thyroidectomy. Our experience suggests that the postoperative complication relates primarily to the surgical procedure. The low incidence of permanent complications in thyroid surgery suggests the feasibility of total thyroidectomy as the operation of choice when thyroid nodules were malignant and surgeons are familiar with the technique and indications.