• Title/Summary/Keyword: voice range

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The Validity and Reliability of Reflux Symptom(RSI) Index and Reflux Finding Score(RFS) (역류증상지수와 역류소견점수의 타당성과 신뢰도)

  • Lee, Byung-Joo;Wang, Soo-Geun;Lee, Jin-Choon
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.18 no.2
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    • pp.96-101
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    • 2007
  • Laryngopharyngeal reflux (LPR) is the retrograde movement of gastric contents into the larynx, pharynx, and upper aero-digestive tract. LPR differs from gastroesophageal reflux in that it is often not associated with heartburn and regurgitation symptoms. Otolaryngological manifestations of acid reflux include a wide range of pharyngeal and laryngeal symptoms. Belafsky et al. developed a useful self-administered tool, the reflux symptom index (RSI), for assessing the degree of LPR symptoms. Patients are asked to use a 0 to 5 point scale to grade the following symptoms: 1) hoarseness or voice problems; 2) throat clearing; 3) excess throat mucus or postnasal drip ; 4) difficulty swallowing; 5) coughing after eating or lying down; 6) breathing difficulties ; 7) troublesome or annoying cough; 8) sensation of something sticking or a lump in the throat; 9) heartburn, chest pain, indigestion or stomach acid coming up. A RSI score greater than 13 is considered abnormal. As there is no validated instrument to document the physical findings and severity of LPR, Belafsky et al. developed an eight-item clinical severity scale for judging laryngoscopic finding, the reflux finding score (RFS). They rated eight LPR-associated findings on a scale from 0 to 4 : subglottic edema, ventricular obliteration, erythema/hyperemia, vocal-fold edema, diffuse laryngeal edema, posterior commissure hypertrophy, granuloma/granulation tissue, and thick endolaryngeal mucus. A RFS score of greater than 7 was found to suggest LPR-associated laryngitis. Although both indices (RSI and RFS) are widely used, there is some controversy about their validity (sensitivity and specificity) and reliability (intra-rater and inter-rater) in LPR diagnosis and treatment. We discuss the validity and reliability of RSI and RFS with literature review.

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Design and Development of Multi-Media Data Download System for GSM Mobile Phones (GSM 휴대단말기를 위한 멀티미디어 데이터의 다운로드 시스템 설계 및 구현)

  • OK Kyoung-Dal;Lee Sang-Bum
    • Journal of Internet Computing and Services
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    • v.5 no.3
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    • pp.63-72
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    • 2004
  • Recently the range of mobile phone's usage has become more widely since phone has the function of data communication and voice communication. In addition, the request of users who wish to represent their identity on their mobile phones by storing some kinds of multimedia data such as images and melody has increased. There are two different methods for downloading the multimedia data; one method accesses a wireless internet server to download the data and another method downloads the data from PC directly. While the first one requires extra fee for downloading the data, the second method has weakness to modify the original data and it cannot be used in GSM phone yet since it is developed for CDMA phone. In this paper, we introduce a PC-based download application system that enables the users to download multimedia data from PC to GSM phone very easily.

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The First Formant Characteristics in Vocalize of One Soprano (소프라노 1인의 모음곡 발성 시 제 1 포먼트의 변화양상)

  • Song, Yun-Kyung;Jin, Sung-Min
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.16 no.1
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    • pp.10-14
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    • 2005
  • Background and Objectives : Vowels are characterized on the basis of formant patterns. The first formant(F1) is determined by high-low placement of the tongue, and the second formant (F2) by front-back placement of the tongue. The fundamental frequency(F0) of a soprano often exceed the normal frequency of the first formant. And the vocal intensity is boosted when F0 is high and a harmonic coincides with a formant. This is called a formant tuning. Experienced singers thus learned how to tune their formants over a resonable range by lowering the tongue to maximize their vocal intensity. So, the current study aimed to identify the formant tuning in one experienced soprano by comparing the first formants of vowel [i] in three different voice production : speech, ascending scale, and vocalize. Materials and Method : All voices recordings of vowel [i] in speech, ascending scale (from F4 note to A4 note), and vocalize(:Ridente la calam") were made with digital audio tape-corder in a sound treated room. And the captured data were analyzed by the long term average(LTA) power spectrum using the FFT algorithm of the Computerized Speech Lab(CSL, Kay elementrics, Model, 4300B). Results : Although the first formant of vowel [i] in speech was 238Hz, those of ascending scale [i] were 377Hz, 405Hz, 453Hz respectively in F4(349z), G4(392Hz), A4(440Hz) note, and 722Hz, 820Hz, 918Hz respectively in F5 (698Hz), G5(784Hz), A5(880Hz) note. In vocalize, first formants of [i] were 380Hz, 398Hz, 453Hz respectively in F4, G4, A4 note, and 720Hz, 821Hz, 890Hz respectively in F5, G5, A5 note. Conclusion : These results showed that the first formant of ascending scale and vocalize sustained higher frequency than fundamental frequency in high pitch. This finding implicates that the formant tuning of vowel [i] in ascending scale was also noted in vocalize.

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A Case of Acquired Myasthenia Gravis in German Shepherd Dog (개에서 발생한 후천성 중증근육무력증 일례)

  • Lee Sang-Gwan;Hoh Woo-Pil;Kim Youn-Ju;Kim Tae-Wan;Yoo Jong-Hyun;Eom Ki-Dong;Oh Tae-Ho;Lee Keun-Woo
    • Journal of Veterinary Clinics
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    • v.22 no.4
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    • pp.392-395
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    • 2005
  • A three-year old intact female German shepherd dog weighing 32kg was presented with the history of regurgitation and vomiting. Physical examination revealed a thin body condition, hoarse voice, hypersalivation, and pelvic limb weakness. In radiograph, meagaesophagus was identified. The neostigmine challenge test was positive. The titer of acetylcholine receptor (AChR) antibody was 1.58 nmol/L (reference range, <0.6nmol). Therefore, the dog was diagnosed to be suffering with chronic generalized form of acquired myasthenia gravis and followed by treatment with pyridostigmine bromide, 1mg/kg, q12 hrs. Treatment improved the pelvic limb weakness, however intermittent regurgitation and vomiting persisted. This resulted in aspiration pneumonia f3r which antibiotics were administered However, the dog was euthanized due to poor management and owner's request.

The Comparison of Aerodynamic Measures in Korean Stop Consonants based on Phonation Types (한국어 파열음의 발성 유형에 따른 공기역학 측정치 비교)

  • Choi, Seong Hee;Choi, Chul-Hee
    • Phonetics and Speech Sciences
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    • v.6 no.4
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    • pp.195-203
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    • 2014
  • The aim of this study was to investigate the effects of phonation types ([+/- aspirated], [+/- fortis]) on aerodynamic measures with Korean bilabial stops. Sixty-three healthy young adults (30 males, 33 females) participated to evaluate the VOEF (Voicing Efficiency) tasks with bilabial stop consonants /$p^h$/, /p/, /p'/ using Phonatory Aerodynamic System (PAS) Model 6600 (Kay PENTAX Corp, Lincoln Park, NJ). All VOEF measures were significantly influenced by phonation types except RANP(pitch range)(p <.01). For sound pressure, maximum SPL, mean SPL, and Mean SPL during Voicing have been shown to be significantly greatest in fortis stop /p'/ than aspirated /$p^h$/ and lenis stop /p/ (p<.001). On the other hand, mean pitch after lenis stop was significantly lower than after aspirated and fortis stops (p<.001). Peak expiratory airflow, Target airflow, and FVC (Expiratory volume) were significantly lowest in fortis stop /p'/ which might be associated with higher aerodynamic resistance while peak air pressure and mean peak air pressure during closure were significantly lower in lenis stop /p/. Additionally, AEFF (Aerodynamic efficiency) was significantly higher in fortis stop /p'/ than lenis stop /p/ as well as aspirated stop /$p^h$/ (p<.001). Thus, sound pressure, airflow parameters, and aerodynamic resistance made crucial roles in distinguishing fortis /p'/ from lenis stop /p/ and aspirated. Additionally, pitch and subglottal air pressure parameters were important aerodynamic characteristics in distinguishing lenis /p/ from fortis /p'/ and aspirated /$p^h$/. Therefore, accurate aspirated /p/ stop consonant should be elicited when collecting the airflow, intraoral pressure related data with patients with voice disorders in order to enhance the reliability and relevance or validity of aerodynamic measures using PAS.

Formative Characteristics Regarding Traditional Cultural Identity and Development of Fashion Culture Products - Past, Present, and Future - (전통문화 정체성에 관한 조형성 특성과 패션문화상품 개발연구 - Past, Present & Future -)

  • Jon, Ji-Hyon;Raftery, Andrew
    • Journal of the Korean Society of Costume
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    • v.59 no.7
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    • pp.65-76
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    • 2009
  • Korea has established a code for the economic and cultural industry that covers a wide range of classes unlike the old information era which was limited to the simple knowledge, technology, tools, morals, and customers that had been established in our society. On the other hand, 'culture marketing' is a series of marketing activities in which value-added items are created and shared. The combination of business management and culture seemed pretty awkward considering how rapidly the world was changing, however, the nature of today's culture has changed and the economic nature of culture products has resulted from those changes. In this paper, two authors who expressed the cultural identity in the culture products are studied through a comparison analysis; the author Min Yeongsoon expressed the identity confusion that she experienced in a foreign country and how she overcame homesickness in her work; and the author Kim Ata expressed his confidence in Asia and used his clear and loud voice to express the culture in his work. In addition, today's culture products are affected by the surrounding cultures such as the member's traditional society, environmental culture, and individual's culture. It is a good source for good works of art. In this study, the efforts of seeking the cultural identity, structuring the concept, seeking a new market and possibilities are used to make a consistent process in order to make a series of the systems required for planning and developing culture products.

Supporting Service Continuity in Ubiquitous Network Environment with IMS Extension (IMS 확장을 통한 유비쿼터스 네트워크 환경에서의 서비스 연속성 지원)

  • Yim, Jong-Choul;Bae, Hyun-Joo;Kim, Sang-Ha
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.37B no.12
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    • pp.1148-1159
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    • 2012
  • It is of great significance in the NGN - which supports a ubiquitous network environment in which users can use multiple devices and all the devices are connected to networks - to support the terminal mobility as well as service continuity. The IMS architecture, which is considered as session control layer in the NGN, exists to support a wide range of advanced new services in addition to the traditional voice and data connectivity offerings of "old" telecommunications. The recent IMS specification also defines IUT (Inter UE Session Transfer) functionality in order to support service continuity in the NGN. However, service continuity in IMS has a limitation that two terminals involved in session transfer should belong to the same user. In this paper, we proposed a new device discovery mechanism for IMS and extended UEs with a few capabilities to overcome some of IMS's limitations. We also analysed how much overhead of the proposed method in terms of signaling cost will be.

Vein Wrapping Technique for Nerve Reconstruction in Patients with Thyroid Cancer Invading the Recurrent Laryngeal Nerve

  • Yoo, Young-Moon;Lee, Il-Jae;Lim, Hyo-Seob;Kim, Joo-Hyoung;Park, Myong-Chul
    • Archives of Plastic Surgery
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    • v.39 no.1
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    • pp.71-75
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    • 2012
  • Recurrent laryngeal nerve paralysis is the most common and serious complication after thyroid cancer surgery. The objective of this study was to report the advantages of the vein wrapping technique for nerve reconstruction in patients with thyroid cancer invading the recurrent laryngeal nerve and its effects on postoperative phonatory function. The subjects were three patients who underwent resection of the recurrent laryngeal nerve during surgical extirpation of papillary thyroid cancer. Free ansa cervicalis nerve graft or direct neurorrhaphy with a vein wrapping technique was used to facilitate nerve regeneration, protect the anastomosed nerve site mechanically, and prevent neuroma formation. One-year postoperative laryngoscopic examination revealed good vocal cord mobility. Maximum phonation time ($19.5{\pm}0.3$ sec) was longer than a previously-reported value in conventional reconstruction patients ($18.8{\pm}6.6$ sec). The present phonation efficiency index ($7.88{\pm}0.78$) was higher than that previously calculated in conventional reconstruction ($7.59{\pm}2.82$). The mean value of the Voice Handicap Index-10 was 6, which was within the normal range. This study demonstrates improvement in phonation indices measured 1 year after recurrent laryngeal nerve reconstruction. Our results confirm that the vein wrapping technique has theoretical advantages and could be favored over conventional reconstruction techniques for invenerate nerve injuries.

Design of a Double-Faced Window Printed Antenna for Aircraft Applications (항공기용 양면 인쇄형 글래스 안테나 설계)

  • Byun, Gang-Il;Han, Wone-Keun;Choo, Ho-Sung
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.22 no.2
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    • pp.131-139
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    • 2011
  • In this paper, we propose a double-faced window printed antenna for aircraft applications. The proposed antenna structure consists of a feeding line and a multi-loop radiator located on different sides of the window to use the limited given-area effectively. The proposed antenna is optimized by the genetic algorithm in conjunction with the FEKO EM simulator. The optimized antenna is built and installed on a 1/10 sized KUH-Surion mock-up and antenna performances such as the reflection coefficient and the radiation patterns are measured. The optimized antenna shows a half power matching bandwidth of about 33 % at 60 MHz and an average bore-sight gain of about -3.49 dBi. To verify the reception capability of the optimized antenna, we simulated the received power according to a flight scenario. The result confirms that the optimized antenna shows a minimum received power level above -60 dBm at a range of 200 km, which is similar to the pole antenna that is currently used as a FM voice antenna for KUH-Surion.

Respiratory Functions and Characteristics of Phonation in Patients with de novo Idiopathic Parkinson's Diseases (de novo 특발성 파킨슨병 환자의 호흡 및 발성 특성)

  • Cho, Sun-A;Sohn, Young-Ho;Baek, Seung-Jae;Lee, Phil-Hyu;Lee, Ji-Eun;Choi, Yae-Lin
    • Phonetics and Speech Sciences
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    • v.2 no.4
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    • pp.75-82
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    • 2010
  • Many previous studies based on respiratory characteristics of Idiopathic Parkinson's Diseases (IPD) patients have not controlled related factors appropriately. Accordingly, these studies produced discordant results. Furthermore, there is currently a lack of studies that can provide precise explanations on the characteristics of respiration and phonation. This study included a total of 40 subjects: 20 mixed gender de novo IPD patients ranging in age from 50 to 80 (Hoehn & Yahr stage 1~3), and 20 normal subjects with similar matches for age and gender. All participants were controlled based on their gender, age, height, weight, vocal fold function, cognitive abilities, and depression factors. K-MMSE (Korean-Mini Mental State Examination), nVHI-10 (new Voice Handicap Index), and KGDS (Korean Form of Geriatric Depression Scale) were evaluated to select this study subjects. In order to compare respiratory functions between the two groups, FVC, FEV1, and FEV1/FVC were measured using microQuark, a PC-based spirometer. CSL was used by measure MPT and PAS was used to measure MFR. To investigate the characteristics of phonation ability, CSL was used to measure jitter and shimmer, while PAS was used to measure Psub. In order to compare the respiratory function averages and phonation ability between the two groups, statistical analysis was conducted using SPSS (version 12.0). The results of this study showed that most de novo IPD patients were included in the normal average range of respiratory and phonatory ability. But the respiratory and phonatory ability of de novo IPD patients showed lower tendency as compared with the normal group. When the average of respiratory and phonatory ability among the gender was compared, the difference of males was greater than the difference of females.

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