• Speech Sciences
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• v.15 no.2
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• pp.169-176
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• 2008

This study was intended to analyze difference of vocal folds movements between upon wakeup and in several hours later in the morning. The difference of vocal fold movements was compared with fundamental frequency and a range of fundamental frequencies from maximum to minimum. The participants were 30 female adults between 20 and 29 years old. Voice samples were collected from their reading sentence (Jeong, 1993). The first sampling was conducted within 5 minutes after wakeup, while the second on 1 hour after the first sampling. Finally, the third voice sample was collected on 6 hours after the second sampling. The results of this study were as follows: First, fundamental frequency of the participants were by hour significantly time-dependent(F=7.843). Post-hoc multiple comparison (LSD) was conducted to determine when the difference could be observed. The result showed significant differences between upon wakeup and 6 hours later (p< .001) and between 1 hour later and 6 hours later (p< .05). Second, there were a significantly time-dependent ranges of fundamental frequencies of participants by hour (F=3.130). According to the results of the LSD analysis the significant differences in range of fundamental frequencies were found between upon wakeup and 1 hour later and also between wakeup and 6 hours later (p< .05). The results above indicate that vocal fold movements upon wakeup is different from those of several hours later.

• Clinical and Experimental Pediatrics
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• v.57 no.9
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• pp.403-409
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• 2014

Purpose: Although high morning blood pressure (BP) is known to be associated with the onset of cardiovascular events in adults, data on its effects in children with hypertension are limited. Our retrospective study aimed to define the clinical characteristics of children with morning hypertension (MH) and to determine its associated factors. Methods: We reviewed 31 consecutive patients with hypertension, confirmed by the ambulatory blood pressure monitoring (ABPM). We divided these patients into 2 groups: the MH group (n=21, 67.7%), morning BP above the 95th percentile for age and height (2 hours on average after waking up) and the normal morning BP group (n=10, 32.3%). We compared the clinical manifestations, laboratory results, and echocardiographic findings including left ventricular hypertrophy (LVH) between the groups. Results: The early/atrial (E/A) mitral flow velocity ratio in the MH group was significantly lower than that in the normal morning BP group. In addition, LV mass was higher in the MH group than in the normal morning BP group, although the difference was not statistically significant. The age at the time of hypertension diagnosis was significantly higher in the MH group than in the normal morning BP group (P =0.003). The incidence of hyperuricemia was significantly higher in the MH group than in the normal morning BP group. Conclusion: Older patients and those with hyperuricemia are at higher risk for MH. The rise in BP in the morning is an important factor influencing the development of abnormal relaxation, as assessed by echocardiography. Clinical trials with longer follow-up periods and larger sample sizes are needed to clarify the clinical significance of MH.