• Archives of Craniofacial Surgery
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• v.22 no.2
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• pp.93-98
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• 2021

Background: Pediatric nasal fractures, unlike adult nasal fractures, are treated surgically as early as 7 days after the initial trauma. However, in some cases, a week or more elapses before surgery, and few studies have investigated the consequences of delayed surgery for pediatric nasal fractures. The purpose of this study was to evaluate the postoperative outcomes of pediatric nasal fractures according to the time interval between the initial trauma and surgery. Methods: The records of pediatric patients under 12 years old who underwent closed reduction of nasal bone fracture from March 2012 to February 2020 were reviewed. The interval between trauma and surgery was divided into within 7 days (early reduction) and more than 7 days (delayed reduction). Postoperative results were classified into five grades (excellent, good, moderate, poor, and very poor) based on the degree of reduction shown on computed tomography. Results: Ninety-eight patients were analyzed, of whom 51 underwent early reduction and 47 underwent delayed reduction. Forty-two (82.4%) of the 51 patients in the early reduction group showed excellent results, and nine (17.6%) showed good results. Thirty-nine (83.0%) of the 47 patients in the delayed reduction group showed excellent results and eight (17.0%) showed good results. No statistically significant difference in outcomes was found between the two groups (chi-square test p= 0.937). However, patients without septal injury were significantly more likely to have excellent postoperative outcomes (chi-square test p< 0.01). Conclusion: No statistically significant difference was found in the outcomes of pediatric nasal fractures between the early and delayed reduction groups. Successful surgical results were found even in patients who received delayed reduction (more than 7 days after trauma).

• Archives of Craniofacial Surgery
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• v.17 no.2
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• pp.51-55
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• 2016

Background: Nasal bone fractures are managed by closed reduction within the 2-week period, and are managed by secondary correction after this time. There is little literature on the delayed reduction for nasal bone fractures beyond the 2-week duration. We report our experience with nasal fractures, which were reduced beyond this period. Methods: A retrospective review was performed for all patients who had undergone closed reduction of isolated nasal bone fracture. Patients were included for having undergone reduction of nasal bone fractures at or more than 2 weeks after the injury. Medical records were reviewed for demographic information, injury mechanism, fracture type, delay in treatment, and cause for delay. Postoperative outcomes were evaluated using computed tomography images. Results: The review identified 10 patients. The average reduction time was 22.1 days. Five of patients underwent reduction between days 15 and 20, and the remaining five patients underwent reduction between days 21 and 41. The postoperative outcomes were excellent in 8 patients and good in 2 patients. Conclusion: Outcomes were superior for nasal fractures with displaced end plates and multiple fracture segments. Our study results appears to support delayed reduction of isolated nasal fractures in the presence of factors that delay bony reunion.

• Journal of the Institute of Electronics Engineers of Korea SC
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• v.41 no.2
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• pp.29-36
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• 2004

This paper deals with a fractional model reduction for linear systems with time varying delayed states. A contractive coprime factorization of linear time delayed systems is defined and obtained by solving linear matrix inequalities. Using generalize controllability and observability gramians of tile contractive coprime factor, a balanced state space realization of the system is derived. The reduced model will be obtained by truncating states in the balanced realization and an upper bound of model approximation error is also presented. In order to demonstrate efficacy of the suggested method, a numerical example is illustrated.

• Journal of Korean Neurosurgical Society
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• v.60 no.6
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• pp.717-722
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• 2017

Objective : To evaluate the effectiveness and efficacy of delayed burr hole surgery in relation to the reduction of postoperative subdural hematoma (SDH) volume in patients with acute SDH. Methods : We retrospectively analyzed patients with acute SDH who received delayed burr hole surgery at our institute. Age, sex, Glasgow coma scale, maximal SDH thickness, volume of SDH, midline shifts, hounsfield unit (HU), and medical history of anticoagulant agent usage were recorded. Outcome measures were delayed operation day, reduction of SDH volume after operation, and the Glasgow outcome scale (GOS) score at discharge. The patients were divided two groups according to the postoperative reduction of volume of SDH (${\geq}50%$, group A; <50%, group B). We also analyzed variables and differences between two groups. Results : Eighteen patients were available for this analysis. The mean delayed of surgery was $13.9{\pm}7.5$ days. Maximal thickness of SDH was changed from $10.0{\pm}3.5mm$ to $12.2{\pm}3.7mm$. Volume of SDH was changed from $38.7{\pm}28.0mL$ to $42.6{\pm}29.6mL$. Midline shifts were changed from $5.8{\pm}3.3mm$ to $6.6{\pm}3.3mm$. HU were changed from $66.4{\pm}11.2$ to $53.2{\pm}20.6$. Post-operative reduction of SDH volume was $52.1{\pm}21.1%$. Eleven patients (61%) had a discharge GOS score of 1 (good recovery). Ten patients (56%) were enrolled in group A. Midline shifting was greater in group A than in group B ($7.4{\pm}3.3$ vs. $3.0{\pm}2.4mm$; p<0.02). The delay of surgery was shorter for group A than group B ($9.2{\pm}2.3$ vs. $19.8{\pm}7.7$ days; p<0.0008). Conclusion : Among well selected patients, delayed burr hole surgery in patients with acute SDH may be effective for reduction of SDH volume. Further studies will be necessary to establish the effectiveness and safety of delayed burr hole surgery in patients with acute SDH.

• Phonetics and Speech Sciences
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• v.4 no.4
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• pp.109-115
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• 2012

This paper mainly aims to investigate how differently choral speech and altered auditory feedback (i.e., delayed auditory feedback, frequency-altered feedback) enhance speech fluency during sentence reading. To do this, a stuttering reduction rate was used and measured how much stuttering in frequency was reduced during each of the fluency enhancing conditions (i.e, typical choral reading, DAF, FAF) relative to typical solo reading. The results showed that stuttering frequency was reduced in the three fluency enhancing conditions and the highest mean value in stuttering reduction rate was observed during typical choral reading. Some discussion was provided in relation to the stuttering reduction rate observed during typical choral reading and its further speculation.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.4 no.2
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• pp.175-180
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• 2001

Purpose: The advantages of air reduction are the ease of performing the procedure, reduced radiation time and lower morbidity rate if perforation occurs. But, patients who fail air reduction undergo a laparotomy at which 10% have spontaneously reduced. The first enema decreases the edema and venous congestion of bowel wall, thus repeated reduction may succeed. The aim of this study is to evaluate the efficacy of delayed repeated pneumatic reduction of intussusception in patients with failure of an initial attempt. Methods: Between January 1998 and December 1999, 21 patients with proven intussusception received repeated delayed reduction 1 to 3 hours following the first failed attempt. These patients were in stable condition and did not have peritonitis, shock or toxic sign. Results: Before reduction, the patients had symptoms and signs for 6 to 48 hours (median 24 hr). The interval from the first reduction to the repeated was 1 to 3 hours (median 2.2 hr). The success rate of repeated reductions was 76.2% (16 of 21 patients), and 23.8% (5 of 21 patients) required surgery. Four of 5 patients requiring surgery were manually reduced and 1 spontaneously reduced in the operating room. Conclusion: We recommended a repeated reduction in patients with intussusception who are in stable clinical condition after an unsuccessful initial reduction attempt.

• Journal of Welding and Joining
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• v.7 no.2
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• pp.49-59
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• 1989

The effect of non-metallic inclusions on the HAZ hydrogen induced cracking was investigated. Quench and temper high tensile strength steels containing various sulphur contents were employed. The sulphur contents range between 0.007% and 0.040%. Non-metallic inclusions were mainly MnS type sylphide and Mn-Al-Si type. The sensitivity of HAZ delayed cracking was evaluated by implant testing. Diffusible hydrogen content was varied by controlling the moisture absorbing condition of manual arc welding electrodes. The one was asreceived condition, the other was dipping the electrodes in the water for ten minutes. The main results obtained were as follows; 1) The results of implant test showed that critical stress increased with increasing S content up to 0.013%. But steel containing 0.040%S showed lower critical stress than that of 0.013% S. These result suggest that there will be optimum S content to prevent HAZ delayed cracking of high strength steels. 2) Under the lower D.H.C. level, critical stress was increased with rolling reduction, but higher D.H.C. level, effect of rolling reduction was not recognized.

• International Journal of Fuzzy Logic and Intelligent Systems
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• v.6 no.3
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• pp.184-189
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• 2006

This paper deals with a fractional model reduction for T-S fuzzy systems with time varying delayed states. A contractive coprime factorization of time delayed T-S fuzzy systems is defined and obtained by solving linear matrix inequalities. Using generalized controllability and observability gramians of the contractive coprime factor, a balanced state space realization of the system is derived. The reduced model will be obtained by truncating states in the balanced realization and an upper bound of model approximation error is also presented. In order to demonstrate efficacy of the suggested method, a numerical example is performed.

• Journal of the Institute of Electronics Engineers of Korea SC
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• v.40 no.5
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• pp.326-332
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• 2003

This paper deals with a model reduction for linear systems with time varying delayed states. A generalized controllability and observability gramians are defined and obtained by solving linear matrix inequalities. Using the generalized controllability and observability gramians, the balanced state space equation is realized. The reduced model can be obtained by truncating states in the balanced realization and the upper bound of model approximation error is also presented. In order to demonstrate efficacy of the suggested method, a numerical example is performed.

• The KIPS Transactions:PartA
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• v.9A no.2
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• pp.171-180
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• 2002

The effective and accurate data flow problem analysis uses the dominator tree and DJ graphs. The data flow problem solving is to safely reduce the flow graph to the dominator tree. The flow graph replaces a parse tree and used to accurately reduce either reducible or irreducible flow graph to the dominator tree. In this paper, in order to utilize Tarian's path compress algorithm, the Top node finding algorithm is suggested and the existing delay reduction algorithm is improved using Path compression. The delayed reduction a1gorithm using path compression actually compresses the pathway of the dominator tree by hoisting the node while reducing to delay the DJ graph. Realty, the suggested algorithm had hoisted nodes in 22% and had compressed path in 20%. The compressed dominator tree makes it possible to analyze the effective data flow analysis and brings the improved effect for the complexity of code optimization process with the node hoisting effect of code optimization process.