• 한국과학교육학회지
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• 제40권4호
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• pp.415-427
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• 2020

본 연구는 북한에서 '2013 제1차 전반적 12년제 의무교육강령'이 시행된 이후에 출판된 소학교 1학년과 초급중학교 1학년 과학과 교사용 지도서에 나타난 PCK 요소를 분석함으로써 북한에서 진행되는 과학교육을 이해하는 데 목적이 있다. 분석 결과 두 지도서 모두 '과학 내용에 관한 지식'의 비율이 가장 높았고, '과학 교수전략에 관한 지식', '과학교육과정 관한 지식'이 뒤를 이었다. 반면에 '과학 평가에 관한 지식', '학생에 관한 지식'은 내용이 현저하게 부족하였다. '과학 내용에 관한 지식'에서는 소학교와 초급중학교 모두 '개념 및 이론'의 비중이 가장 높았으며 '실험 및 탐구'의 비중도 다른 PCK 요소에 비해서는 상당히 높았다. 북한의 과학과 지도서는 학생에게 과학 개념 및 이론을 전달하거나 탐구 수업을 진행할 때 '토론'을 활동으로 제시함으로써 구성주의 교수 흐름을 표방하고 있었다. '과학 교수 전략에 관한 지식'은 '주제-특이적 전략' 중 '활동 순서 및 방식'을 안내하는 부분이 주를 이루었으며 '교과-특이적 전략'은 극히 일부분만 제시되었다. 또한 북한의 과학과 지도서는 총론과 각론 모두에서 과학교육의 이론적 배경 요소가 거의 제시되지 않았다. '과학 교육과정에 관한 지식'은 '수업 목표'가 주를 이루었고, '수직 연계'와 '수평 연계'도 일부 제시되었다. '과학 평가에 관한 지식'과 '학생에 관한 지식'은 우리나라의 과학과 지도서와 비교했을 때 차지하는 비중이 작았다.

• Journal of Oral Medicine and Pain
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• 제31권1호
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• pp.59-67
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• 2006

발치 등 치과치료 후에 발생한 하악신경의 감각이상(이감각증)으로 인해 발음문제를 호소하는 환자들이 있지만, 감각신경의 이상과 운동구어능력 사이의 직접적인 관련성에 대해서는 논란이 존재한다. 본 연구의 목적은 편측 하악 신경의 마취로 인한 일시적인 감각손상이 운동구어능력에 미치는 영향을 평가하여 감각이상과 운동구어능력과의 관련성을 밝히고자 하였다. 본 연구는 단국대학교 치과대학에 재학중인 학생들 중 표준어를 구사하는 건강한 지원자 10명 (남:녀=7:3)을 대상으로 통법에 따라 우측 하치조신경, 설신경, 장협신경의 마취를 시행하였다. 주관적인 평가를 위해 대상자들은 마취전, 마취 후 30초, 30분, 60분, 90분, 120분, 150분, 180분에 마취 심도와 주관적으로 느끼는 발음불편감의 정도를 VAS로 기록하게 하였고, 운동 구어능력을 객관적으로 평가하기 위해 선택된 문장과 단어를 각각의 경과시간 마다 피검자에게 읽도록 하여 녹음하고 채취된 녹음샘플을 Computerized Speech $Lab^{(R)}$, Model 4500을 사용하여 발화속도, 교호운동력, 억양, 음성진전, 발음을 평가하였다. 실험 결과, 마취에 의한 주관적인 발음불편감 정도는 마취 후 60분에서 최고조에 이르고 이후 점점 감소하는데, 이는 주관적 마취 심도의 증감과 상당한 상관관계가 있었다. 주관적 마취 심도와 마취에 대한 발음불편감 정도에 따르는 다중선형회귀 분석결과, 연속발화기본 주파수에서만 통계학적으로 유의한 차이를 보였고 발화속도, 교호운동력, 음성진전 등 나머지 항목에서는 통계학적으로 유의한 차이를 보이지 않았다. 또한, 마취 전후 발음상의 변화도 관찰되지 않았다. 즉, 편측 하악 전달마취는 마취의 증감에 따라 주관적인 발음불편은 변화하지만, 객관적 항목에서 운동구어능력에는 뚜렷한 영향을 미친다고 볼 수는 없었다. 그러므로 편측 하악의 감각손상이 운동구어능력에 뚜렷한 영향을 미친다고 볼 수는 없는 것으로 사료된다.

• 말소리와 음성과학
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• 제5권1호
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• pp.39-46
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• 2013

This study examined the effects of phonetic complexity and articulatory severity on Percentage of Correct Consonant (PCC) and speech intelligibility in adults with dysarthria. Speech samples of thirty-two words from APAC (Assessment of Phonology and Articulation of Children) were collected from 38 dysarthric speakers with one of two different levels of articulatory severities (mild or mild-moderate). A PCC and speech intelligibility score was calculated by the 4 levels of phonetic complexity. Two-way mixed ANOVA analysis revealed: (1) the group with mild severity showed significantly higher PCC and speech intelligibility scores than the mild-moderate articulatory severity group, (2) PCC at the phonetic complexity level 4 was significantly lower than those at the other levels and (3) an interaction effect of articulatory severity and phonetic complexity was observed only on the PCC. Pearson correlation analysis demonstrated the degree of correlation between PCC and speech intelligibility varied depending on the level of articulatory severity and phonetic complexity. The clinical implications of the findings were discussed.

• 대한두경부종양학회:학술대회논문집
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• 대한두경부종양학회 2007년도 춘계학술대회 논문집
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• pp.80-84
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• 2007

Background and Objectives : The radial forearm free flap is a useful reconstructive method of surgical defects after oral and oropharyngeal tumor resection. We evaluated the swallowing and speech outcomes of radial forearm free flap reconstruction for oral and oropharyngeal cancers. Materials and Methods : We retrospectively reviewed clinical data of 84 patients who underwent reconstructive surgery for oral or oropharyngeal cancer using radial forearm free flap from August 1994 to January 2007. Modified barium swallowing (MBS) was done in 100 patients and speech-language assessment was done in 23 patients by a speech-language pathologist. Results were analyzed according to the swallowing functions and the speech-language assessments. Results : According to the results of MBS which was done postoperatively, aspiration occurred in three patients and velopharyngeal insufficiency occurred in four patients who had been reconstructed with multilobed free flap due to large mucosal defects. There was one patient who exhibited severe articulation impairment out of 23 patients. However, 19 patients out of 23 patients showed excellent intelligibility in speech. Conclusion : We concluded that the radial forearm free flap technique is an excellent reconstructive method for the restoration of palatal and pharyngeal function in oral and oropharyngeal cancer patients.

• 음성과학
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• 제12권2호
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• pp.89-99
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• 2005

The purpose of the present study were (1) to assess differences in tongue performances and speech intelligibility between normal and dysarthric speakers; and (2) to analyze the possible interrelationships between tongue strength, range of motion, and speech intelligibility in dysarthric patients. In order to measure maximum strength of anterior and lateral tongue strength, a force transducer has been designed. And a ruler was used for guaging range of motion. 'Word intelligibility test' was administered to each group. The results were analyzed by a quantitative statistical method(t test, Pearson product- moment correlation, and one-way ANOVA). The results were as follows; (1) dysarthric speakers showed significantly poorer performance than the normal in the tongue strength, range of motion, and speech intelligibility tasks; (2) the correlation between speech intelligibility and instrumental tongue performance was high in the dysarthric group; and (3) instrumental assessment was coincide with perceptual judgement of dysarthric tongue performance. The present investigation demonstrated that tongue weakness is causally related to articulation deficits in dysarthric. The clinical use of the force transducer would help a speech pathologist to quantify the degree of tongue weakness.

• Archives of Plastic Surgery
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• 제32권3호
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• pp.375-380
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• 2005

Furlow palatoplasty has been favored by many plastic surgeons as the primary treatment for the velopharyngeal insufficiency associated with submucous cleft palate. The purpose of this article is to introduce an efficacy of Furlow palatoplasty and speech therapy performed on patients who were diagnosed belatedly as having submucous cleft palates. From 2002 to 2004, four submucous cleft palate patients over 5 years of age with velopharyngeal insufficiency received Furlow palatoplasty. The patients were evaluated through the preoperative perceptual speech assessment, nasometry, and videonasopharyngoscopy. Postoperatively, two patients achieved competent velopharyngeal function in running speech. One of the remaining two could achieve competent velopharyngeal function with visual biofeedback speech therapy and the other could not use her new velopharyngeal function in running speech because of her age. Speech therapy can correct the articulation errors and thus improve the velopharyngeal function to a certain extent by eliminating some compensatory articulations that might have an adverse influence on velopharyngeal function. This study shows that Furlow palatoplasty can successfully correct the velopharyngeal insufficiency in submucous cleft palate patients and speech therapy has a role in reinforcing surgical result. But age is still a restrictive factor even though surgery was well done.

• 한국소음진동공학회논문집
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• 제21권10호
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• pp.883-889
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• 2011

The brand sound of vehicle diesel engine is recently one of the important advantage strategies in the automotive company. Because various noise components masked under high frequency level can be audible in quieter driving situation. Many researches have been carried out for subjective and objective assessments on vehicle sounds and noises. In particular, the interior sound quality has been one of research fields that can give high quality feature to vehicle products. Vehicle interior noise above 500 Hz is usually controlled by sound package parts. The materials and geometries of sound package parts directly affect on this high frequency noise. This paper describes the sound quality evaluation method for the vehicle diesel engine noise to establish objective criteria for sound quality assessment. Considering the sensitivity of human hearing to impulsive sounds such as diesel noise, the human auditory mechanism was simulated by introducing temporal masking in the time domain. Furthermore, each of the human auditory organs was simulated by computer codes, providing reasonable analytical explanations of typical human hearing responses to diesel noise. This method finally provides the sound quality index of vehicle diesel engine noise that includes high frequency intermittent offensive sounds caused by impacting excitations of combustion and piston slap.

• 말소리와 음성과학
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• 제9권4호
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• pp.129-136
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• 2017

This study investigates the effect of voice quality on speech intelligibility and the relationship between voice quality and intelligibility for children with spastic CP. We recruited 36 children with spastic CP (mean age 10.43 year, 17 girls, 19 boys, spastic type 34, mixed 2) from a special school and a rehabilitation hospital. Voice samples for the perceptual analysis of voice quality were extracted from a sustained vowel /a/ and were rated on the GRBAS scales by two experienced speech language pathologists. Ten adult subjects with no hearing problems evaluated speech intelligibility for the 37 words listed in the Assessment of Phonology and Articulation for Children on a 7-point interval scale. The children with spastic CP were divided into three groups according to the rated G scores on the GRBAS scales (G1(n)=10, G2(n)=13, G3(n)=13). Analyses of ANCOVA and Pearson correlation showed that there was a significant difference in speech intelligibility among three groups. There was also a significant correlation in G scale (grade), A scale (asthenia), B scale (breathy) score, and speech intelligibility. These findings suggest that poor speech intelligibility of spastic CP might be related to asthenia and breathiness. Vocal intensity should be increased and vocal functioning should be improved for speech therapy to improve speech intelligibility of the children with spastic CP.

• 말소리와 음성과학
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• 제9권2호
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• pp.125-135
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• 2017

The current study examines PCC (percentage of correct consonant), speech intelligibility, and oral motor function between the group of typically developing children and the group of children with Down's syndrome. To 15 children with Down's syndrome (mean CA: 9;7) and 15 typically developing children on receptive language age, the following tests were administered: K-WPPSI (2001), Picture Vocabulary Test (Kim et al., 1995), Oral and Speech Motor Control Protocol for total oral functional score (Robbins et al., 1987), DDK and Assessment of Phonology and Articulation for Children (APAC, Kim et al., 2007) for PCC and speech intelligibility. Pearson correlation coefficients were computed for the total oral functional score, PCC and DDK of each group. The statistical analysis showed that there is no significant difference in total functional score and DDK when IQ was controlled. There was a significant correlation between total oral functional score and PCC in the Down's syndrome group and a significant correlation between total oral functional score and intelligibility in the Down's syndrome group whether IQ was controlled or not. The findings suggest that both cognitive ability and overall oral motor function need to be considered for the intervention to enhance PCC or speech intelligibility of children with Down's syndrome.

• Archives of Plastic Surgery
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• 제34권6호
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• pp.741-747
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• 2007

Purpose: In order to determine the differences in speech outcome based on timing of operation in submucous cleft palate, we have reviewed our experiences in the Furlow palatoplasty over the last 11 years. Methods: From March 1996 to March 2006, 38 submucous cleft palate patients received Furlow palatoplasty. 10 developmentally delayed patients were excluded and 5 patients were lost to follow up. The rest 23 patients were reviewed. Speech was evaluated preoperatively and postoperatively, and speech therapy was performed accordingly. Perceptual speech assessment included hypernasality, nasal emission and articulation disorder. Cinefluorography was performed to aid perceptual assessment. Based on timing of operation, the patients were divided into 3 groups as following: Group A under 24 months(8 patients), Group B from 25 to 48 months(6 patients), and Group C over 49 months (9 patients). Except 1 patient under speech therapy yet, resultant speech was compared. 200707Results: The rate of abnormal speech was higher in Group C(3/9, 33.3%) than in Group A(0%) or B(0%). All 3 patients who had been discontinued of speech therapy from the parent's judgment had abnormal speech. The reason for the discontinuation was that the regular speech therapy was a burden at school age. Any patients who had continued speech therapy had normal speech. Conclusion: The results of our study shows that operative timing is associated with speech development. Maintenance of speech therapy was an important factor for normal speech development. It will be helpful to perform a palatoplasty before 48 months of age to complete speech therapy before the school age.