• Archives of Plastic Surgery
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• 제41권3호
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• pp.264-270
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• 2014

Background The technique of delayed-immediate breast reconstruction includes immediate insertion of a tissue expander, post-mastectomy radiation, followed by reconstruction. The aesthetic benefits of delayed-immediate reconstruction compared to delayed reconstruction are postulated but remain unproven. The purpose of this study was to compare aesthetic outcomes in patients following delayed and delayed-immediate autologous breast reconstruction. Methods A retrospective analysis was performed of all patients who underwent delayed or delayed-immediate autologous breast reconstruction by the senior author from 2005 to 2011. Postoperative photographs were used to evaluate aesthetic outcomes: skin quality, scar formation, superior pole contour, inferior pole contour, and overall aesthetic outcome. Ten non-biased reviewers assessed outcomes using a 5-point Likert scale. Fisher's Exact and Wilcoxon-Mann-Whitney tests were used for comparative analysis. Results Patient age and body mass index were similar between delayed (n=20) and delayed-immediate (n=20) cohorts (P>0.05). Skin and scar quality was rated significantly higher in the delayed-immediate cohort (3.74 vs. 3.05, P<0.001 and 3.41 vs. 2.79, P<0.001; respectively). Assessment of contour-related parameters, superior pole and inferior pole, found significantly improved outcomes in the delayed-immediate cohort (3.67 vs. 2.96, P<0.001 and 3.84 vs. 3.06, P<0.001; respectively). Delayed-immediate breast reconstruction had a significantly higher overall score compared to delayed breast reconstructions (3.84 vs. 2.94, P<0.001). Smoking and the time interval from radiation to reconstruction were found to affect aesthetic outcomes (P<0.05). Conclusions Preservation of native mastectomy skin may allow for improved skin/scar quality, breast contour, and overall aesthetic outcomes following a delayed-immediate reconstructive algorithm as compared to delayed breast reconstruction.

• Journal of Korean Neurosurgical Society
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• 제52권4호
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• pp.288-292
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• 2012

Objective : Microvascular decompression (MVD) for hemifacial spasm (HFS) is a safe and effective treatment with favorable outcomes. The purpose of this study was to evaluate the incidence of delayed cranirve (VI, VII, and VIII) palsy following MVD and its clinical courses. Methods : Between January 1998 and December 2009, 1354 patients underwent MVD for HFS at our institution. Of them, 100 patients (7.4%) experienced delayed facial palsy (DFP), one developed sixth nerve palsy, and one patient had delayed hearing loss. Results : DFP occurred between postoperative day number 2 and 23 (average 11 days). Ninety-two patients (92%) completely recovered; however, House-Brackmann grade II facial weakness remained in eight other patients (8%). The time to recovery averaged 64 days (range, 16 days to 9 months). Delayed isolated sixth nerve palsy recovered spontaneously without any medical or surgical treatment after 8 weeks, while delayed hearing loss did not improve. Conclusion : Delayed cranial nerve (VI, VII, and VIII) palsies can occur following uncomplicated MVD for HFS. DFP is not an unusual complication after MVD, and prognosis is fairly good. Delayed sixth nerve palsy and delayed hearing loss are extremely rare complications after MVD for HFS. We should consider the possibility of development of these complications during the follow up for MVD.

• 한국통신학회논문지
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• 제40권8호
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• pp.1542-1550
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• 2015

Delayed ACK은 TCP에서 기본적으로 사용되고 있는 기술로써 회선의 혼잡도를 완화하고 데이터 전송 시에 ACK을 처리하는데 들어가는 부하를 줄이는 효과를 가지고 있다. 다만 이러한 Delayed ACK은 다음 ACK이 생성 될 때까지 Delayed ACK timeout 값만큼 ACK전송을 지연시키게 되는데 이 값이 너무 커지면 추가적인 ACK의 발생을 너무 오래 기다림으로써 통신 속도의 저하를 발생시키게 된다. 본 논문에서는 Delayed ACK Timeout 값이 일반적인 ACK의 발생 빈도보다 지나치게 큰 값을 가짐으로써 발생하는 통신 속도 저하를 방지하기 위해, Delayed ACK Timeout 값을 조절하여 불필요한 지연을 줄여 전송 속도를 개선하는 알고리즘을 제안한다.

• Journal of Trauma and Injury
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• 제26권1호
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• pp.34-37
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• 2013

Although a majority of patients with splenic rupture present acutely, up to 15% present with a delayed rupture days to weeks following a substantial abdominal injury. The mortality for patients presenting with acute splenic rupture is approximately 1% whereas that associated with delayed rupture approaches 15%. Although many cases of delayed splenic rupture have been reported, the majority of those reports present delayed splenic rupture associated with an underlying systemic disorder such as liver or kidney disease, or another hematologic disorder. We found a delayed splenic rupture case that documented the normal spleens of young healthy soldiers after trivial abdominal trauma, and we have had successful treatment experience with delayed rupture of a normal spleen after trivial trauma. Therefore, we want to review the literature and discuss the phenomenon of delayed rupture of the spleen following trivial trauma.

• 한국농공학회지
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• 제20권4호
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• pp.4799-4804
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• 1978

In order to investigate the effect of delayed compaction on the strength of the lime soil mixtures, labroatory test with two kind of soils was performed at four levels of lime content, at five levels of water content, and at six love's of delayed times. The results are summarized as follows; 1. Maximum dry density and optimum moisture content decreased with increase of the delayed times. The decreasing rate of those values at the earlier delayed time were large, and those values showed almost constant after about four hours of delayed time. 2. According to the increase of the delayed time, the decreasing rate of maximum dry density and optimum moisture content was large ia S-2 sampl, but was a little in S-1 sample. 3. Unconfined compressive strength of lime soil mixtures decreased with the increase of the delayed time, and the decreasing rate of its strength increased with the increase of the lime content. 4. Water content corresponding to the maximum strength was a little higher than the optimum moisture content along the increase of lime content and delayed time but its value was large in fine soil.

• Journal of Trauma and Injury
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• 제28권3호
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• pp.91-97
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• 2015

Purpose: Occult hip fracture is not evident on radiographs and the diagnosis is often missed or delayed. This study was undertaken in order to identify the clinical characteristics and complications of patients with a delayed diagnosis of an occult hip fracture. Methods: We retrospectively reviewed patients with occult hip fracture who had normal findings on initial radiographs, the diagnosis was made on additional studies between August 2006 and February 2012. Patients who were diagnosed as having occult hip fractures at the first visit were categorized as non-delayed group and those who were not diagnosed at the first visit were categorized as delayed group. Results: Non-delayed group included 43 patients (86%). In the remaining 7 patients (delayed group), the diagnosis was delayed by a mean of 9.6 days (range 3~19 days). Patients who were diagnosed with an occult fracture on the initial visit presented later than those with a delayed diagnosis (41/43 .vs. 3/7, p=0.002). Other clinical features were no difference between the two groups. Patients in the delayed diagnosis group were more likely to have fracture displacement (4/7 .vs. 0/43)15patients in non-delayed group (34.9%) needed operative treatment, whereas all delayed patients (100%) needed operative treatment. Conclusion: A delayed diagnosis of occult hip fractures was associated with increased rate of displacement and operation. In patients suspected of having occult hip fractures, additional studies should be recommended.

• 제어로봇시스템학회논문지
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• 제13권7호
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• pp.649-655
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• 2007

In this paper, a time-delayed controller for position control of humanoid robot arms is designed and implemented on a field programmable gate array(FPGA) chip. The time-delayed control algorithm is simple to implement, and robust to reject disturbances. The time-delayed control method uses the one sample time-delayed previous information to cancel out uncertainties in the system. Since the sampling time is so fast with the current hardware technology, the time-delayed controller can be implemented. However, inertia values should be correctly estimated to have the better performance. The position tracking tasks of humanoid robot arms are tested to compare performances of several control algorithms including the time-delayed controller.

• Clinical and Experimental Pediatrics
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• 제59권9호
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• pp.368-373
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• 2016

Purpose: This study examined the risk factors of a delayed diagnosis of acute appendicitis in children undergoing an appendectomy. Methods: This retrospective study involved children aged below 18 years, who underwent an appendectomy. After dividing them into a delayed diagnosis group and nondelayed diagnosis group according to the time interval between the initial hospital visit and final diagnosis, the risk factors of delayed diagnosis were identified using logistic regression analysis. Results: Among 712 patients, 105 patients (14.7%) were classified in the delayed diagnosis group; 92 patients (12.9%) were diagnosed using ultrasonography (US), and both US and computed tomography were performed in 38 patients (5.3%). More patients in the delayed diagnosis group underwent US (P=0.03). Spring season and prior local clinic visit were significantly associated with a delayed diagnosis. Fever and diarrhea were more common in the delayed diagnosis group (fever: odds ratio [OR], 1.37; 95% confidence interval [CI], 1.05-1.81; diarrhea: OR, 1.94; 95% CI, 1.08-3.46; P<0.05). These patients showed symptoms for a longer duration (OR, 2.59; 95% CI, 1.78-3.78; P<0.05), and the admission course (OR, 1.26; 95% CI, 1.11-1.44; P<0.05) and C-reactive protein (CRP) levels (OR, 1.47; 95% CI, 1.19-1.82; P<0.05) were associated with the delayed diagnosis. Conclusion: To decrease the rate of delayed diagnoses of acute appendicitis, symptoms such as fever and diarrhea, seasonal variations, admission course, and CRP levels should be considered and children with a longer duration of symptoms should be closely monitored.

• 대한전기학회논문지
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• 제43권5호
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• pp.827-837
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• 1994

This paper presents robustness propertis of the Kalman Fiter and the associated LQG/LTR method for linear time-invariant output-delayed systems. It is shown that, even for minimum phase plants, the LQG/LTR method can not recover the target loop transfer function. Instead, an upper bound on the recovery error is obtained using an upper bound of the solution of the Kalman filter Riccati equations. Finally, some dual properties between output-delayed systems and input-delayed systems are exploited.

• 생물환경조절학회지
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• 제22권3호
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• pp.202-208
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• 2013

본 연구애서는 '후지' 사과의 CA 저장을 실용화하기 위하여 수확시기와 일정기간 저온저장한 후 CA 환경을 설정하는 지연 CA 처리가 저장 중 내부갈변장해와 과실품질에 미치는 영향을 조사하였다. 1차 년도에 '후지' 사과를 10월 22일에 수확하였을 때 밀병 발생율이 40%였고, CA 환경 조성($O_2\;2.5{\pm}0.5%+CO_2\;2.5{\pm}0.5%$)을 20일 지연 CA 저장하였을 때는 내부갈변이 발생하였으나, 30일 지연 CA 저장에서는 내부갈변이 발생하지 않았다. 2차 년도에는 수확시기가 늦어질수록 밀병 발생율이 높았고, 이러한 과실은 10~30일 지연 CA 처리구에서 내부갈변장해가 발생하였으나, 40일 지연 CA 처리구에서는 내부갈변장해가 발생하지 않았다. 호흡량은 저온저장 과실에서는 저장기간이 길어질수록 급격히 증가하였으나 지연 CA 저장에서는 호흡량이 낮게 유지되었고, 급속 CA 저장에 비해서 차이를 보이지 않았다. 에틸렌 발생량은 지연 CA 저장한 과실들이 저온저장에 비해서 낮았으나, 급속 CA 저장에 비해서는 다소 높은 발생량을 보였다. 산 함량은 지연 CA 저장이 급속 CA 저장에 비해 저장기간이 길어질수록 감소하는 경향이었고, 경도는 저장 8개월 후에도 급속 CA 처리구와 지연 CA 처리구간에는 차이를 보이지 않았다.