• Journal of Chest Surgery
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• v.36 no.6
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• pp.444-447
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• 2003

Sleeve pneumonectomy can be a method of treatment in a selected patient with bronchogenic carcinoma involving carina. A 64 years old male with a history of mitral valve replacement via midsternotomy 13 years ago and resection of papilloma of the vocal cord 2 years ago. The patient was admitted due to blood-tinged sputum. Bronchoscopy and computerized tomogram of the chest revealed 3.5 cm mass at lower margin of the trachea and totally obstructing the left main bronchus. A biopsy revealed squamous cell carcinoma. He underwent left sleeve pneumonectomy through sequential bilateral thoracotomy without cardiopulmonary bypass, and the pathologic stage was T4N0M0 stage IIIB. The patient is being followed through the outpatient clinic in good general condition.

• The Journal of the Acoustical Society of Korea
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• v.23 no.1
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• pp.61-74
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• 2004

In this paper, a contort- and speaker-dependent cepstrum extraction method and a channel normalization method for minimizing the loss of speaker characteristics in the cepstrum were proposed for a robust speaker recognition system over the channel. The proposed extraction method creates a cepstrum based on the pitch synchronous analysis using the inherent pitch of the speaker. Therefore, the cepstrum called the 〃pitch synchronous cepstrum〃 (PSC) represents the impulse response of the vocal tract more accurately in voiced speech. And the PSC can compensate for channel distortion because the pitch is more robust in a channel environment than the spectrum of speech. And the proposed channel normalization method, the 〃formant-broadened pitch synchronous CMS〃 (FBPSCMS), applies the Formant-Broadened CMS to the PSC and improves the accuracy of the intraframe processing. We compared the text-independent closed-set speaker identification on 56 females and 112 males using TIMIT and NTIMIT database, respectively. The results show that pitch synchronous km improves the error reduction rate by up to 7.7% in comparison with conventional short-time cepstrum and the error rates of the FBPSCMS are more stable and lower than those of pole-filtered CMS.

• The Journal of the Acoustical Society of Korea
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• v.21 no.8
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• pp.735-743
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• 2002

In this paper, we propose three new text-independent speaker identification methods. At first, to exclude the frames not having enough features of speaker's vocal from calculation of the maximum likelihood, we propose the FS(Frame Selection) method. This approach selects the important frames by evaluating the difference between the biggest likelihood and the second in each frame, and uses only the frames in calculating the score of likelihood. Our secondly proposed, called the Hybrid, is a combined version of the FS and WMR(Weighting Model Rank). This method determines the claimed speaker using exponential function weights, instead of likelihood itself, only on the selected frames obtained from the FS method. The last proposed, called MWMR (Modified WMR), considers both original likelihood itself and its relative position, when the claimed speaker is determined. It is different from the WMR that take into account only the relative position of likelihood. Through the experiments of the speaker identification, we show that the all the proposed have higher identification rates than the ML. In addition, the Hybrid and MWMR have higher identification rate about 2% and about 3% than WMR, respectively.

• The Journal of the Acoustical Society of Korea
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• v.14 no.4
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• pp.89-95
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• 1995

The waveform coding technique has concerned with simply preserving the waveform shape of speech signal through a redundancy reduction process. In the case of speech synthesis, the waveform coding with high sound quality is mainly used to the synthesis by analysis. However, since the parameters of this coding are not classified into either excitation or vocal tract parameters, it is difficult to applying the waveform coding to the synthesis by rule. In order to apply the waveform coding to the synthesis by rule, the pitch alteration technique is required in prosody control. In this paper, we propose a new pitch alteration method that can change the pitch period in waveform coding by scaling the time-axis and compensating the spectrum. This is relevant to the time-frequency domain method were the phase components of the waveform is preserved with a little spectrum distortion of 2.5 % and less for 50% pitch change.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.16 no.2
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• pp.183-191
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• 2005

Tic disorder including Tourette's disorder is a neurodevelopmental disorder that appears in childhood and characterized by the presence of motor and vocal tics. Childhood-onset obsessive-compulsive disorder (OCD) is suggested to be a phenomenologically and etiologically distinct subtype of OCD, bearing a close genetic relationship to tic-disorders. Tourette's disorder and OCD are comorbid in $40-75\%$ of patients initially diagnosed with either disorder. Basal ganglia and cortico-striato-thalamic circuits are implicated in the pathophysiology of both disorders and these disorders have similar clinical features. Over the past decades, the progress in research on Tourette's disorder and OCD has been extraordinary. This review describes some of important insights from these work, involving these areas : 1) clinical implication 2) genetics and epidemiology 3) brain imaging study 4) neuroche-mistry 5) pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection (PANDAS).

• Journal of Digital Contents Society
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• v.18 no.6
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• pp.1049-1056
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• 2017

This study focused on the changes in the voices in determining the effects of speech training. This study aimed to make more visible and scientific evaluation of the changes in the voices among the substantial effects obtained from speech training. As a result, some objective differences from before the speech training could be found in the voice of every learner. Each learner showed gradual technical improvement in a variety of vocal elements, including resonance and timbre, accuracy of pronunciation, pause; that is, the voice became more powerful, more accurate pronounced, more pausing and more stable than before the speech training. This study determined if speech training could change a voice and the results are expected to help speech learners participate actively in speech training and see their speech ability improved.

• Korean Journal of Head & Neck Oncology
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• v.23 no.1
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• pp.32-36
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• 2007

Background and Objective：A post-operative hypertrophic scar of the anterior neck is the leading complaint of the patients who underwent conventional thyroid surgery. In order to minimize the post-operative scar of the anterior neck, we performed thyroidectomy via axillary approach using operating microscope and a specialized retractor to determine technical feasibility. Patients and Methods：From January 2005 to December 2006, we performed thyroidectomy via axillary approach under operating microscope(f=400mm, ${\times}2.5$；OPMI $pico^{(R)}$；Zeiss, Germany) for benign unilateral nodule in 25 cases(all female, average age 34.5yrs). Under general anesthesia less than 7cm of skin incision was made in the axilla of ipsilateral side. A subcutaneous tunnel went over the pectoralis major muscle and the clavicle, and then through the sternocleidomastoid muscle and sternothyroid muscle was excised. The area around the thyroid was sufficiently dissected, and then a retractor designed for exposure via axillary approach was placed within the tunnel and under operating microscope thyroidectomy was performed. Results：There were 17 cases of thyroid nodulectomy and 8 cases of subtotal lobectomy. The mean average operative time was 102.64minutes. Postoperative complications included one case of postoperative bleeding, one case of temporary vocal cord paralysis, two cases of delayed wound healing, two cases of paresthesia of shoulder and arm, and two cases of hypertrophic scar of the axilla. Postoperative histopathology includes 17 cases of adenomatous hyperplasia, six cases of cyst, and two cases of follicular adenoma. For all cases hospitalization period was two days. Conclusion：Thyroidectomy via axillary approach under operating microscope has a good cosmetic advantage without a post-operative scar of the anterior neck. The procedure is simple due to direct vision using operating microscope, easy to identify important structures by magnifying them, and therefore surgical time can be reduced.

• 한국HCI학회:학술대회논문집
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• 2008.02a
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• pp.540-546
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• 2008

In the near future, robots should be able to understand human's emotional states and exhibit appropriate behaviors accordingly. In Human-Human Interaction, the 93% consist of the speaker's nonverbal communicative behavior. Bodily movements provide information of the quantity of emotion. Latest personal robots can interact with human using multi-modality such as facial expression, gesture, LED, sound, sensors and so on. However, a posture needs a position and an orientation only and in facial expression or gesture, movements are involved. Verbal, vocal, musical, color expressions need time information. Because synchronization among multi-modalities is a key problem, emotion expression needs a systematic approach. On the other hand, at low intensity of surprise, the face could be expressed but the gesture could not be expressed because a gesture is not linear. It is need to decide the emotional boundaries for effective robot behavior generation and synchronization with another expressible method. If it is so, how can we define emotional boundaries? And how can multi-modality be synchronized each other?

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.12 no.2
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• pp.152-157
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• 2001

Background : Electrolarynx, Esophageal voice, and Silicone voice prosthesis with tracheoesophageal(T-E) fistula have been used as vocal rehabilitating methods for the post-laryngectomized patients. Prosthetic rehabilitation of voice after total laryngectomy has gained wide acceptance and has become a common practice in many clinics since the pioneering works of Singer and Blom In 1979. Since the introduction of tracheo-esophageal puncture and application of Blom Singer$\circledR$ voice prosthesis in 1980, several reliable voice prostheses have been developed and are successfully being used. Objectives : Even though quality of voice produced by Silicone voice prosthesis with T-E fistula is superior to other modalities, it still has some disadvantages. We devised a new cannulatyped silicone voice prosthesis. Methods : 1) Devising a new prototype of cannula-typed silicone voice prosthesis. 2) Application of the prototype using canine animal model(laryngectormized dog) and fitting trial on human patient whose previously inserted Silicone voice prosthesis is not functioning due to presumed fungal infection. Discussion : Final form of prototype was made after several times of major and minor modifications. Insertion of the newly developed Cannula-typed Silicone voice prosthesis on canine animal model and human trial were done without any difficulty. There were no serious leakage of saliva or food during swallowing. Conclusion : The newly developed Cannula-typed Silicone voice prosthesis(So-Mang$\circledR$) and the modified replacement method will further improve the results of post-laryngectomized prosthetic voice rehabilitation. Long-term animal study and human trial are planned in the near future.

• Journal of Chest Surgery
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• v.28 no.11
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• pp.1032-1037
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• 1995

Between September 1988 and December 1993, 32 cases of benign esophageal stricture, of which 12 males and 20 females, were managed in Seoul National University Hospital hospital. Their age ranged from 2 to 61 years, and the mean age was 33.9 years. The ingestion of caustic agent was the most common cause, and the caustic material was acid in 16 patients [58% and alkali in 11patients [39% . Nearly all of the patients complained of dysphagia, and some of chest pain, epigastric pain, weight loss, vomiting, general malaise, and dyspnea. The most frequent site of stricture was found in the upper thoracic esophagus with 34% incidence followed by the lower thoracic esophagus[28% , whole esophagus[19% , and the mid esophagus[16% . The operations performed were 17[53% ECG[esophagocologastrostomy , 5[16% PCG[pharyngocologastrostomy , 5[16% EG[esophagogastrostomy , 2 EJG [esophagojejunogastrostormy by free jejunal graft , and 1 case each of EJ [esophagojejunostomy , esophageal end to end anastomosis, jejunostomy only, and gastrostomy only. In 23 patients [72% , diseased esophaguses were resected, using transhiatal total esophagectomy in 15 [47% and transthoracic partial esophagectomy in 8 [25% . Of those 23 patients, 3 patients [9.4% were diagnosed as esophageal carsinoma on microscopic examination. The postoperative most common complications were unilateral vocal cord palsy in 6 patients [19% , followed by cervical anastomosis leakage in 4 patients [12.5% , wound infection in 2 patients [6% , and pneumothorax in 2 patients [6% . Late death occurred 8 months after the operation in one patient, which was associated with infection due to anastomotic leakage. Our experience shows that the rate of mortality and the morbidity were low in patients receiving surgical management for esophageal stricture and that the cancer transformation rate was high. We recommend esophageal reconstruction surgery with esophagectomy [transhiatal or transthoracic for the esophageal stricture because it can avoid a chance of prevent cancer transformation.