• Title/Summary/Keyword: on-the-pause

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The Effects of Inspiratory Pause on Airway Pressure and Gas Exchange under Same I:E ratio in Volume-controlled Ventilation (Volume-Controlled Mode의 기계환기시 동일환 I:E Ratio하에서 Inspiratory Pause가 기도압 몇 가스교환에 미치는 영향)

  • Choi, Won-Jun;Jung, Sung-Han;Lee, Jeong-A;Choe, Kang-Hyeon
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.5
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    • pp.1022-1030
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    • 1998
  • Background : In volume-controlled ventilation, the use of inspiratory pause increases the inspiratory time and thus increases mean airway pressure and improves ventilation. But under the same I : E ratio, the effects of inspiratory pause on mean airway pressure and gas exchange are not certain. Moreover, the effects may be different according to the resistance of respiratory system. So we studied the effects of inspiratory pause on airway pressure and gas exchange under the same I : E ratio in volume-controlled ventilation. Methods: Airway pressure and arterial blood gases were evaluated in 12 patients under volume-controlled mechanical ventilation with and without inspiratory pause time 5%. The I : E ratio of 1 : 3, $FiO_2$, tidal volume, respiratory rate, and PEEP were kept constant. Results: $PaCO_2$ with inspiratory pause was lower than without inspiratory pause ($38.6{\pm}7.4$ mmHg vs. $41.0{\pm}7.7$ mmHg. p<0.01). P(A-a)$O_2$ was not different between ventilation with and without inspiratory pause $185.3{\pm}86.5$ mmHg vs. $184.9{\pm}84.9$ mmHg, p=0.766). Mean airway pressure with inspiratory pause was higher than without inspiratory pause ($9.7{\pm}4.0\;cmH_2O$ vs. $8.8{\pm}4.0\;cmH_2O$, p<0.01). The resistance of respiratory system inversely correlated with the pressure difference between plateau pressure with pause and peak inspiratory pressure without pause (r=-0.777, p<0.l), but positively correlated with the pressure difference between peak inspiratory pressure with pause and peak inspiratory pressure without pause (r=0.811, p<0.01). Thus the amount of increase in mean airway pressure with pause positively correlated with the resistance of respiratory system (r=0.681, p<0.05). However, the change of mean airway pressure did not correlated with the change of $PaCO_2$. Conclusion: In volume-controlled ventilation under the same I : E ratio of 1 : 3, inspiratory pause time of 5% increases mean airway pressure and improves ventilation. Although the higher resistance of respiratory system, the more increased mean airway pressure, the increase in mean airway pressure did not correlated with the change in $PaCO_2$.

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Evaluation of the usefulness of the method according to changes in patient breathing during chest 4D CT imaging (흉부 4D CT에서 호흡 변화에 대한 일시 중지 및 재개 방법의 유용성 평가)

  • Heo, Sol;Shin, Chung Hun;Jeong, Hyun Sook;Yoo, Soon Mi;Kim, Jeong Mi;Yun, In Ha;Hong, Seung Mo;Back, Geum Mun
    • The Journal of Korean Society for Radiation Therapy
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    • v.33
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    • pp.47-54
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    • 2021
  • Purpose : In order to evaluate the usefulness of clinical application of the Pause & Resume methods by comparing and analyzing the data stability and dose reduction effect when repeat scan assuming irregular breathing and using the Pause & Resume method during chest 4D CT using QuasarTM Phantom. Materials and Methods : Using the QuasarTM Phantom, set the breathing rate per minute to 15 BPM and 7.5 BPM, and set the S15 point as an irregular breathing section, and then placed OSLD to this point and use the Pause & Resume method to measure the dose of S15. CTDIvol, DLP, and ALARA-CT were used for comparative analysis of radiation dose between Pause & Resume method and Repeat-scan. In order to evaluate the stability and usability of the data applying the Pause & Resume method, the captured images were sorted by Advanced Workstation Volume Share7 and then sent to EclipseTM, the diameter and volume were analyzed by forming a contour on the iron ball in the QuasarTM Phantom Results : When using Pause & Resume, the dose of OSLD measurement increased by 1.97 times in the section of S15. As a result of image evaluation, the average value of all volumes measured with and without the Pause & Resume method at 15 BPM and 7.5 BPM was 15.2 cm3±0.5%.Allthemeasuredvaluesfor the radius of iron ball were 3.1 cm regardless of whether Pause & Resume method was used or not. In the case of using Pause & Resume, 33% decreased from the lowest DLP value and 38% decreased from the highest DLP value of repeat scan, and the effective dose also decreased 32.1% from the minimum value and 37.6% from the maximum value. Conclusion: Irradiation dose was increased by Pause & Resume method because of the repeat scan on the S15 site where assuming irregular breathing occurred, However Pause & Resume method led to a significant reduction in dose on overall scan range. It also proved the usefulness of clinical application of the Pause & Resume method as a result of similar diameters and volumes of iron ball measurement.

Speech Rate and Pause Characteristics in Patients with Parkinson's Disease (파킨슨병 환자의 말 속도와 쉼 특성)

  • Ko, Yol-Mae;Kim, Deog-Young;Choi, Yae-Lin;Kim, Hyang-Hee
    • Phonetics and Speech Sciences
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    • v.2 no.4
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    • pp.173-184
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    • 2010
  • The purpose of this study is to investigate the speech rate characteristics (whole speech rate, articulation speech rate, and articulation percentage) and the pause characteristics (pause duration, pause frequency, and pause percentage) of Korean-speaking patients with idiopathic Parkinson's disease (referred to as IPD hereafter). The study aims first to examine the differences between the patient group with IPD and the other group without IPD concerning those measurements, and secondly to investigate the relevant measurements of the two groups following the sentence length changes. There were two groups of subjects in this study. The first group consisted of 7 subjects between the ages of 50 and 60 who were diagnosed as IPD with mild severity, and the second group consisted of 13 subjects without IPD who matched the age and gender of those in the first group. Those two groups were asked to read 8 different sentences in length at habitual speed. Speech rate and pause characteristics of the two groups were measured and compared each other. The followings results were observed. First, in a study of speech rate characteristics, the whole speech rate and the articulation speech rate of the patient group scored within the normal range, which is same as the group without IPD. On the other hand, with regard to the pause characteristics, differences between two groups were shown; the patient group had shorter pause duration, lower pause frequency, lower pause percentage, and higher articulation percentage. Secondly, in a study of relevant measurements following the sentence length, both groups showed a tendency for whole speech rate and articulation rate to increase as the length of the sentence increased, but the result of pause characteristics showed a difference between two groups. While the group without IPD showed a longer pause duration, higher pause frequency, and higher pause percentage as the length of sentences increases, no differences were shown among the patient group concerning the length of sentences. This study suggests a result that the patients with IPD of mild severity retained a normal speech rate and examined pause characteristics of the patient group which showed a different result from the group without IPD in terms of quality. Future studies on the speech rate and pause characteristics of Korean-speaking patients with IPD in various severities.

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A Study on Perceptual Sensitivity to Prosodic Cues in Disambiguation (중의성 해소에 기여하는 억양단서의 인지적 민감도 연구)

  • Kim, Mi-Hye;Kang, Sun-Mi;Kim, Kee-Ho
    • Phonetics and Speech Sciences
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    • v.3 no.4
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    • pp.3-11
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    • 2011
  • This experimental study has a goal to explore the perceptual sensitivity to phonetic evidence such as duration, phrase accent, or pause in disambiguation. We argue that the realization of the intonational phrasal boundary at the meaningful grammatical boundary in structurally ambiguous sentences facilitates English native listeners to distinguish the meanings of the ambiguous sentences. Moreover, the duration of the phrase-final syllable, pitch range reset, or phrasal tones also provides listeners with important phonetic evidence in disambiguation. In our perception experiment, however, Korean English learners largely depend on the realization of pause. In the results from the perception experiment, all of the groups showed an increase in the response time from the perception of no pause to pause realization. This means that pause at the phonological phrasal boundary plays a role of facilitator to English native speakers with other prosodic cues such as duration, pitch accent, or phrasal tones, while an absolutely important cue to Korean English learners.

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Study on the realization of pause groups and breath groups (휴지 단위와 호흡 단위의 실현 양상 연구)

  • Yoo, Doyoung;Shin, Jiyoung
    • Phonetics and Speech Sciences
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    • v.12 no.1
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    • pp.19-31
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    • 2020
  • The purpose of this study is to observe the realization of pause and breath groups from adult speakers and to examine how gender, generation, and tasks can affect this realization. For this purpose, we analyzed forty-eight male or female speakers. Their generation was divided into two groups: young, old. Task and gender affected both the realization of pause and breath groups. The length of the pause groups was longer in the read speech than in the spontaneous speech and female speech. On the other hand, the length of the breath group was longer in the spontaneous speech and the male speech. In the spontaneous speech, which requires planning, the speaker produced shorter length of pause group. The short sentence length of the reading material influenced the reason for which the length of the breath group was shorter in the reading speech. Gender difference resulted from difference in pause patterns between genders. In the case of the breath groups, the male speaker produced longer duration of pause than the female speaker did, which may be due to difference in lung capacity between genders. On the other hand, generation did not affect either the pause groups or the breath groups. The generation factor only influenced the number of syllables and the eojeols, which can be interpreted as the result of the difference in speech rate between generations.

A Study on the Analysis of Korean Native Speakers's Utterance Fluency (한국어 모어 화자의 발화 유창성 분석 연구)

  • Lee, Jin
    • Korean Linguistics
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    • v.81
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    • pp.245-265
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    • 2018
  • The purpose of this study is to prepare the basis for a more objective evaluation of oral fluency by analyzing Korean native speaker's utterance. Traditionally, fluency evaluation tended to rely on the evaluators' experience and subjective idea. Therefore, there has been a need of setting the evaluation standard in numeric form that is easily measurable. In this study, I will analyze Korean native speaker's utterance in focus of pause. Total number of 875 pauses were extracted from the 21st Century Sejong Korean spoken corpus, and the elements before and after the pauses were annotated. From the analysis results, the pauses were divided between fluent pauses and influent pauses. If the length of fluent pauses do not exceed reasonable length of pause for native Korean speakers, there was no point reduction. On the other hand, if the influent pauses are made more frequently than the native Korean speakers, then it is subject to point reduction.

Control Rules of Synthetical Pauses and Syllable Duration depending on Pronunciation Speed in Korean Speech (발음속도에 따른 한국어의 휴지기 규칙 및 평균음절길이 조절규칙)

  • Kim, Jae-In;Kim, Jin-Young;Lee, Tae-Won
    • The Journal of the Acoustical Society of Korea
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    • v.14 no.1
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    • pp.56-64
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    • 1995
  • In this paper we extracted control rules of synthetical pauses and syllable durations depending on pronunciation speed in Korean speech from the spoken sentences recorded by 18 professional announcers. Pause rules were divided into three categories : pause between sentences(PBS), pause between clauses(PBC) and pause between intonational phrases(PBI). From the analysis results it is found that comparing the slowly spoken sentence with the fast spoken sentence the duration difference between them is due to the synthetical pause increments, expecially, of PBS and PBC. In addition, it is also found that the increment ratio of the mean syllable duration Is low. On the other hand, PBI was not pronounced in the fast spoken sentences. PBI was pronounced at the pronunciation speed(PS) over some PS.

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Influences of Inter-syllable Pause Duration on Speech Discrimination Score in Children with Cochlear Implantation (음절 간 쉼 간격이 인공와우 아동의 어음이해도에 미치는 영향)

  • Park, J.I.;Heo, S.D.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.8 no.4
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    • pp.245-250
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    • 2014
  • The aims of this study was to investigate influences of speech discrimination score(SDS) depending on inter-syllable pause duration in participant with child of cochlear implantation(CI). 12 child of CI-user participated. The word for SDS was used self-made meaningless three-syllable. The pause duration of inter-syllable was adjusted to 250, 500, 1,000 millisecond(ms). Discrimination score of closed-set speech was obtained at most comfortable loudness(MCL). SDS were improved in CI group for 62.08, 63.75, 69.58 %, but there were no significant changes in child of CI group(p = .4635). SDS was improved depending on inter-syllable pause duration in child of CI.

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A Study of Pause Positions in Korean Students' English Reading (끊어 읽기 오류 분석을 통한 영어 읽기 지도 방안 연구)

  • Lee, Jin-Mi;Park, Han-Sang
    • Proceedings of the KSPS conference
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    • 2007.05a
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    • pp.95-98
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    • 2007
  • This study investigates pause positions of Korean students' reading of an English script. 12 natives speakers of English and 18 Korean students were asked to read The North Wind and the Sun. The common pause positions were determined by examining the pauses of the native speakers' readings. Korean students were asked to mark pauses on a script. And then they were trained to put pauses as native speakers of English do. Although some errors have been corrected after the training, others have not been corrected in Korean students' readings. Korean students made fewer errors in marking on the script than in reading the script. They seem to know where to put pauses, but lack of practice makes it difficult to put pause in the right positions when they read. That suggests that teachers should continue to teach students where to put pauses in their reading or speaking English.

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