실어증 선별검사 도구개발을 위한 예비연구

김향희,이현정,김덕용,허지회,김용욱,Kim, Hyang-Hee,Lee, Hyun-Joung,Kim, Deog-Yong,Heo, Ji-Hoe,Kim, Yong-Wook 한국음성학회 2006 음성과학 Vol.13 No.2

An aphasia screening test can serve a main purpose of differentiating aphasics from non-aphasic patients in a quick as well as efficient manner. As a preliminary study for developing a standardized aphasia screening test for Korean patients, we constructed an aphasia screening test constituting items from the Paradise' Korean version-the Western Aphasia Battery(P K-WAB). All test items were analyzed in order to extract items with optimal item discrimination and adequate item difficulty indices. From the results, we were able to select some items from each subtest with optimal results of discriminant function analysis for aphasic and normal control groups. It is expected, thus, that information on the item analysis could be utilized in developing a Korean aphasia screening test.

전통 식혜의 기호도와 이용 실태에 관한 조사

김향희,박금순,Kim, Hyang-Hee,Park, Geum-Soon 동아시아식생활학회 2006 동아시아식생활학회지 Vol.16 No.5

Sikhe a general Korean traditional drink, is a sweet drink fermented with malt powder rice(or glutinous rice). To investigate the perception and use behavior of Sikhe, 35.2% of the male and 64.8% of the female adults in Daegu and Kyungbuk area were surveyed. The methods frequency, percentage, chi-square test and one-way ANOVA were used to analyze the data. The main results were as follows : 36.1% of the participants usually preferred the traditional drinks and 94.7% of them had experienced Sikhe among the traditional drinks. Most respondents liked Sikhe owing to its good taste. In addition, the responses to 7 questions about the Sikhe were also measured on a 5-point likert scale. The statement 'Sikhe is a traditional food' and 'Sikhe is a natural food' received high positive responses and adults in their 50's had a generally better knowledge of Sikhe than the counterparts. furthermore, 54.8% sometimes purchased commercial Sikhe, but 40.7% didn't buy it at all due to bad taste. Therefore, to increase the intake of commercial Sikhe, the taste needs to be improved, and 59.8% of adults suggested that 'Add other ingredients and the taste can be improved', while 58.8% replied 'maintenance' prospects for Sikhe consumption.

한국절식(韓國節食)의 여행실태(旅行實態)에 관(關)한 지역별(地域別) 비교연구(比較硏究) -강릉, 대구, 대전, 전주지역을 중심으로-

김향희,황춘선,Kim, Hyang-Hee,Hwang, Choon-Sun 한국식생활문화학회 1991 韓國食生活文化學會誌 Vol.6 No.2

This study was conducted to research on the observing state of Korean traditional holidays and the traditional foods related to those days through the questionnaires completed by 578 housewives who live in Kangreung, Daejeon, Jeonju, and Daegu area. For data processing, SAS program was employed, and all data was analyzed by frequency, percentage, and $x^2-square$. The results are as follows; 1. In observing the traditional holidays, more than 90% of housewives who answered the inquiry keep up SEOLNAL, DAEBOREUM, and CHUSEOK, whithout regarding regions. There are larger number of people who keep up IPCHUN, JUNGWHAJEAL, and DANOH in Kangreung and SAMBOK in Daegu than that of other regions (p<.001). Compared to general circumstances, CHOPAIL is more commonly celebrated by older class as well as lower educated class (p<.001) Also, the consequence shows that Buddhists observe IPCHUN, SAMJITANL, CHOPAIL, DANOH, SAMBOK, and DONGJI more commonly compared with other classes (p<.001), IPCHUN, SAMJITNAL, (p<.01). DAEBOREUM, YUDU, SAMBOK, JUNGYANGJEOL, OHIL, and DONGJI (p<.001) are celebrated more generally among extended. 2. On inheritance of the traditional holidays, most of the housewives answered that the SEOLNAL, DAEBOREUM, CHUSSEOK, and DONGJI are to be inherited. Compared to general circumstance CHOPAIL is suggested to be inherited by older people (p<.001). The IPCHUN, CHOPAIL, SAMBOK (p<.001), and DANCH (p<.01) are suggested by Buddhists that YUDU and SAMBOK are by nuclear. 3. In preparaing festive foods, DEOKGUK on SEOLNAL, OHKOKBAP and MUKEUNNAMUL on DAEBOREUM, SONGPYEON and GATEUNNAMUL on CHUSEOK, and PATJUK on DONGJI are being made very generally. KANGJEONG on SEOLNAL, BUREUM on DAEBOREUM, KALGUKSU and SAMGYAETANG on SAMBOK, DARKJIM on CHUSEOK, SUJEONGGWA and DONGCHIMI on DONGJI appeared comparatively high rated of making. 4. In normal times, DEOKGUK, MANDU, INJEOLMI, SIKHYAE, SUJEEONGGWA, PYEONYUK, JEONYUEO, SIRUDDEOK, BOKSSAM, MUKEUNNAMUL, SONGPYUN, MINARINAMUL, YUKGAEJANGGUK, KALGUKSU, SAMGYAETANG, HOBAKJIJIM, TORANTANG, GATEUNNAMUL, NUREUMJEOK, DAKJIM, KALBIJIM, PATJJUK, and DONGCHIMI is usully made. 5. The source to learn about traditional foods is mostly by her mother and the rest orders are husband's mother, cooking books, mass media (including T.V), school education, and cooking instituse, etc.

고령층의 말 · 언어 능력 평가도구의 하위 검사에 대한 내용타당도

김향희(Kim, Hyang Hee),김수련(Kim, Soo Ryon),유현지(Yoo, Hyun Ji),김정완(Kim, Jung Wan) 한국장애인재활협회 2013 재활복지 Vol.17 No.3

말과 언어 능력은 일반적으로 나이가 듦에 따라 저하된다. 그 능력은 다면적으로 측정되어야하며, 타당한 측정을 위한 기본 가정은 문항이나 하위 검사들이 측정을 위하여 규정된 내용을‘제대로’ 측정하는지를 나타내는‘내용타당도(content validity)’가 구축되어야 한다는 점이다. 본연구에서는 현재 개발 중인‘고령층 의사소통능력평가 프로토콜’을 구성하는 하위 검사들의 내용타당도를 검증하고자 하였다. 이를 위하여 성인언어(장애)를 전문 영역으로 하는 언어치료사 1급 자격증 소지자 20명에게 총 13개 하위 검사(언어 영역 6개, 말 영역 7개)들을 평정하기 위한 리커드 5점 척도의 설문 조사를 실시하여, 점수에 근거한 내용타당도 지수(Content Validity Index, CVI)를 산정하였다. 결과에 따르면, 언어 영역에서는 단어정의하기만이 CVI .73이었고, 나머지 5개 모두 절단점(cut-off score)인 .75보다 높은 CVI를 보였다. 말 영역에서는 7개 하위 검사 모두가 절단점인 .75보다 높은 CVI를 나타냈다. 이로써, 본 평가도구의 하위 검사들은 고령층을 대상으로 말-언어 능력을 평가하기 위한 목적에 적절하게 부합되며, 내용 영역을 잘 대표하는 타당성을 갖고 있음이 입증되었다. Speech-language ability of the elderly deteriorates with age. Thus, multidimensional assessment of the ability, responding to the growing population, is necessary. The fundamental assumption of valid assessment is to satisfy content validity, which refers that the content of the tool matches the assessment objectives. In this study, Content Validity Index(CVI) was calculated based on 5-point Likert scaling analysis, judged by 20 certified speech-language pathologists. It was found that CVIs of all language subtests except for 'word definition' task were above .75. All of speech subtests were above .75. Thus, it was determined that the subtests were adequate to evaluate speech-language ability of the elderly.

헛개나무열매 추출물을 첨가한 식혜의 품질특성과 저장성

김향희 ( Hyang Hee Kim ),박금순 ( Geum Soon Park ),전정례 ( Jeong Ryae Jeon ) 한국식품조리과학회 2007 한국식품조리과학회지 Vol.23 No.6

15 세기 청화백자에 그려진 그림 연구

김향희(Hyang Hee Kim) 한국불교미술사학회 2000 강좌미술사 Vol.15 No.-

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특발성 파킨슨병의 시상밑부핵 심부뇌자극술 관련 말 평가 과제에 대한 문헌연구

김선우(Kim Sun Woo),김향희(Kim Hyang Hee) 한국장애인재활협회 2014 재활복지 Vol.18 No.4

Idiopathic Parkinson disease(IPD) is an neurodegenerative disease caused by the loss of dopamine cells in the substantia nigra, a region of midbrain. Its major symptoms are muscular rigidity, bradykinesia, resting tremor, and postural instability. An estimated 70~90% of patients with IPD also have hypokinetic dysarthria. Subthalamic nucleus deep brain stimulation (STN-DBS) has been reported to be successful in relieving the core motor symptoms of IPD in the advanced stages of the disease. However, data on the effects of STN-DBS on speech performance are inconsistent. A medline literature search was done to retrieve articles published from 1987 to 2012. The results were narrowed down to focus on speech performance under STN-DBS based perceptual, acoustic, and/or aerodynamic analyses. Among the 32 publications which dealt with speech performance after STN-DBS indicated improvement(42%), deterioration(29%), mixed results(26%), or no change(3%). The most favorite method was found to be based upon acoustic analysis by using a vowel prolongation and Unified Parkinson's Disease Rating Scale(UPDRS). For the purpose of verifying the effect of the STN-DBS, speech evaluation should be undertaken on all speech components such as articulation, resonance, phonation, respiration, and prosody by using a contextual speech task. 특발성 파킨슨병(idiopathic Parkinson disease, IPD)은 알 수 없는 원인으로 인해 중뇌의 흑질 신경세포가 손실되는 대표적인 퇴행성 신경계 질환이다. IPD 환자는 신체 운동 이상을 주로 호소하지만 이들 중 70~90%가 운동저하형 마비말장애(hypokinetic dysarthria)를 동반하는 것으로 알려져 있다. 진행된 심도의 IPD 환자의 운동 증상 호전에 가장 효과적인 치료 방법으로 알려진 시상밑부핵 심부뇌자극술(subthalamic nucleus deep brain stimulation, STN-DBS)은 말 산출에서는 그 효과가 일관되지 않게 보고된다. 이에 본 연구에서는 STN-DBS가 말 산출에 미치는 영향을 살펴보고, 연구에서 어떠한 말 평가 과제가 사용되었는지를 조사하기 위하여 medline을 통해 2012까지 이루어진 연구 논문을 수집하였다. 총 32편 중, 연구대상자들에서 술 후 말 상태의'호전'이 관찰된 논문은 42%,'악화'는 29%,'엇갈리는 결과'는 26%,'변화 없음'은 3%로 확인되었다. 말 효과 간에는 문맥발화(contextual speech)가 연구에 사용된 비중이 높을수록 술 후 말상태는 부정적인 결과로 보고되었으며, 말 산출 단계 중 일부 단계(예: 호흡 및 발성만, 혹은 조음만)만이 반영된 평가 과제가 연구마다 선택적으로 사용되었음을 확인하였다. 이에 본 연구는 STN-DBS를 받은 IPD 환자의 말 평가는 말 산출 하부 단계를 모두 반영하는 문맥발화 과제를 통일적으로 사용할 것을 제안한다.

마비말장애 연구문헌에서 살펴본 말평가의 청지각적 요소

서미경,김향희,Suh, Mee-Kyung,Kim, Hyang-Hee 한국음성학회 2006 음성과학 Vol.13 No.3

Perceptual judgement method is frequently used in evaluating dysarthric speech. Although most of speech pathologists and researchers focus on the 38 perceptual features provided by Darley, Aronson & Brown(1969) during evaluation, there are additional characteristics that may be useful to describe dysarthria in literature. We reviewed previous dysarthria literature and selected 46 perceptual characteristics that could be examined at various subsystems of speech production. We also provided explanations and rationale for the rating method for each of the perceptual characteristics. This attempt might aid to offer a basic ground for developing a diagnostic tool of dysarthria.

파킨슨증의 음성진전 : 감별진단을 위한 예비연구

최성희,김향희,이원용,최홍식,Choi, Seong-Hee,Kim, Hyang-Hee,Lee, Won-Yong,Choi, Hong-Shik 한국음성학회 2005 음성과학 Vol.12 No.3

Tremor is a main factor of parkinsonism. Voice tremor may be the first, later or the only symptom of a neurological disease and its frequency, amplitude, and regularity may differ among the diseases of different neural subsystems. Differential diagnosis between idiopathic Parkinson's disease (IPD) and multiple system atrophy (MSA) has been difficult. This study included three groups: (1) 6 IPD patients; (2) 6 MSA patients; and (3) 20 ageand sex-matched normal controls. The MDVP (Multidimensional Voice Program) was used to analyze the sustained /a/phonation. The results were as follows: (1) frequency perturbation parameters (jitter, sPPQ, Vf0) and FTRI of tremor parameter of two patient groups were statistically different from those of the controls (p < .01); (2) measures were higher in short-term and long-term f0 and amplitude perturbation in MSA than IPD; (3) however, any acoustic parameters between IPD and MSA were not statistically different; except for the rate of frequency tremor, 4$\sim$5 Hz in IPD, 5$\sim$11 Hz in MSA and (4) the pattern of regularity for voice tremor through histogram indicated that amplitude of IPD was irregular while both f0 and amplitude of MSA were irregular. In conclusion, F0, rate of frequency tremor, and pattern of f0 regularity may be predictors for differential diagnosis. These findings might signify that voice tremor of parkinsonism was resulted from modulation of f0.

마비말장애 환자의 혀의 강도.운동범위와 말명료도에 관한 연구

이경하,심현섭,김향희,Lee, Kyung-Ha,Sim, Hyun-Sub,Kim, Hyang-Hee 한국음성학회 2005 음성과학 Vol.12 No.2

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.