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Kang, Hyun-Sook,Dilley, Laura Korean Society of Speech Sciences 2007 음성과학 Vol.14 No.4
The present study investigated some perceptual phonetic attributes of two Korean stop types, aspirated and lax, in medial position of an accentual phrase. The intonational pattern across syllables (Jun, 1993) is argued to depend on the type of stop (aspirated vs. lax) only in the initial position of an accentual phrase. In Kang & Dilley (2007), we showed that significant differences between aspirated and lax stops in medial position of an accentual phrase exist in closure duration, voice-onset time, and fundamental frequency (F0) values for post-stop vowels. In the present perception experiment, we investigated whether these phonetic attributes contribute to the perception of these two types of stops: The closure durations and/or F0's of post-stop vowels on accentual-phrase medial words were altered and twenty native Korean speakers then judged these words as beginning with an aspirated or lax stop. Both closure duration and F0 significantly affected judgments of stop identity. These results indicate that a wider range of acoustic cues that distinguish aspirated and lax Korean stops in production also plays a role in perception. To account for these results we suggest some phonetic and phonological models of consonant-tone interactions for Korean.
Closure Duration and Pitch as Phonetic Cues to Korean Stop Identity in AP-medial Position
Hyunsook Kang,Laura Dilley 한국음성학회 2007 음성과학 Vol.14 No.4
The present study investigated some perceptual phonetic attributes of two Korean stop types, aspirated and lax, in medial position of an accentual phrase. The intonational pattern across syllables (Jun, 1993) is argued to depend on the type of stop (aspirated vs. lax) only in the initial position of an accentual phrase. In Kang & Dilley (2007), we showed that significant differences between aspirated and lax stops in medial position of an accentual phrase exist in closure duration, voice-onset time, and fundamental frequency (F0) values for post-stop vowels. In the present perception experiment, we investigated whether these phonetic attributes contribute to the perception of these two types of stops: The closure durations and/or F0's of post-stop vowels on accentual-phrase medial words were altered and twenty native Korean speakers then judged these words as beginning with an aspirated or lax stop. Both closure duration and F0 significantly affected judgments of stop identity. These results indicate that a wider range of acoustic cues that distinguish aspirated and lax Korean stops in production also plays a role in perception. To account for these results we suggest some phonetic and phonological models of consonant-tone interactions for Korean.
Kang, Hyun-Sook,Dilley, Laura Korean Society of Speech Sciences 2007 음성과학 Vol.14 No.3
The present study investigated some phonetic attributes which distinguish two Korean stop types $^-aspirated$ and $lax^-$ in a prosodic position which has previously received little attention, namely medial in an accentual phrase. The intonational pattern across syllables which are initial in an accentual phrase (Jun, 1993) is said to depend on the type of stop (aspirated or lax), while that of syllables which are medial in an accentual phrase are not. In Experiment 1, nine native Korean speakers read sentences with a controlled prosodic pattern in which aspirated or lax stops occurred in accentual phrase-medial position. Acoustic analysis revealed significant differences between aspirated and lax stops in closure duration, voice-onset time, and fundamental frequency (F0) values for post-stop vowels. The results indicate that a wider range of acoustic cues distinguish aspirated and lax Korean stops than previously demonstrated. Phonetic and phonological models of consonant-tone interactions for Korean will need to be revised to account for these results.
Hyunsook Kang,Laura Dilley 한국음성학회 2007 음성과학 Vol.14 No.3
The present study investigated some phonetic attributes which distinguish two Korean stop types ?aspirated and lax? in a prosodic position which has previously received little attention, namely medial in an accentual phrase. The intonational pattern across syllables which are initial in an accentual phrase (Jun, 1993) is said to depend on the type of stop (aspirated or lax), while that of syllables which are medial in an accentual phrase are not. In Experiment 1, nine native Korean speakers read sentences with a controlled prosodic pattern in which aspirated or lax stops occurred in accentual phrase-medial position. Acoustic analysis revealed significant differences between aspirated and lax stops in closure duration, voice-onset time, and fundamental frequency (F0) values for post-stop vowels. The results indicate that a wider range of acoustic cues distinguish aspirated and lax Korean stops than previously demonstrated. Phonetic and phonological models of consonant-tone interactions for Korean will need to be revised to account for these results.
Jhalak Dholakia,David E. Cohn,Michael Straughn, Jr,Sarah E. Dilley 대한부인종양학회 2021 Journal of Gynecologic Oncology Vol.32 No.6
Objective: To assess the potential cost-effectiveness of prehabilitation in medically frail patients undergoing surgery for epithelial ovarian cancer (EOC). Methods: We created a cost-effectiveness model evaluating the impact of prehabilitation on a cohort of medically frail women undergoing primary surgical intervention for EOC. Cost was assessed from the healthcare system perspective via (1) inpatient charges from 2018–2019 institutional Diagnostic Related Grouping data for surgeries with and without major complications; (2) nursing facility costs from published market surveys. Major complication and non-home discharge rates were estimated from the literature. Based on published pilot studies, prehabilitation was determined to decrease these rates. Incremental cost-effectiveness ratio for cost per life year saved utilized a willingness-to-pay threshold of $100,000/life year. Modeling was performed with TreeAge software. Results: In a cohort of 4,415 women, prehabilitation would cost $371.1 Million (M)versus $404.9 M for usual care, a cost saving of $33.8 M/year. Cost of care per patient with prehabilitation was $84,053; usual care was $91,713. When analyzed for cost-effectiveness, usual care was dominated by prehabilitation, indicating prehabilitation was associated with both increased effectiveness and decreased cost compared with usual care. Sensitivity analysis showed prehabilitation was more cost effective up to a cost of intervention of $9,418/patient. Conclusion: Prehabilitation appears to be a cost-saving method to decrease healthcare system costs via two improved outcomes: lower complication rates and decreased care facility requirements. It represents a novel strategy to optimize healthcare efficiency. Prospective studies should be performed to better characterize these interventions in medically frail patients with EOC.