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The Effects of Individualized Cardiac Rehabilitation Education for Percutaneous Coronary Intervention (PCI) Patients (개별 심장재활교육이 경피적 관상동맥 중재술(PCI) 환자의 지식과 불안에 미치는 효과)

  • Kim Nam-Cho;Choi Kyung-Ok
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.1
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    • pp.42-49
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    • 2006
  • Purpose: This study was done to evaluate the effectiveness of cardiac rehabilitation education individualized to PCI patients in order to improve their knowledge of these diseases and to lessen their anxiety. Method: A Quasi experimental design with non-equivalent control group non-synchronized design was used. The experimental group had the PCI operation for ischemic heart disease and individualized cardiac rehabilitation education and counseling twice for 25 minutes each time using an educational booklet developed by the authors. The effects of the education were analyzed using a knowledge assessment tool, state anxiety inventory and anxiety visual analogue scale. Results: The experimental group who received the individualized cardiac rehabilitation education showed a high level of knowledge about diseases compared to the control group and particularly showed a significant difference in knowledge about the drugs used for treatment. However, no significant difference was observed between the two groups in the level of state anxiety and anxiety visual analogue scale. Conclusion: Individualized cardiac rehabilitation education did not reduce anxiety but it was effective in enhancing the participants' knowledge about the diseases. Thus, it can be utilized effectively in addressing risk factors in ischemic heart diseases by providing education individualized according to patients' demands and knowledge levels.

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Design of I/O Controller for Future Communication Platform (차세대 통신 플랫폼을 위한 입출력 컨트롤러 설계 및 검증)

  • Hyun, Eu-Gin;Lee, Jung-Hyon;Oh, Hyun-Seok;Seong, Kwang-Su
    • Annual Conference of KIPS
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    • 2005.05a
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    • pp.1667-1670
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    • 2005
  • 본 논문에서는 차세대 통신 플랫폼을 위한 PCI Express의 전송계층과 데이터 연결계층의 모든 기능을 지원하는 PCI Express 컨트롤러를 설계하였다. 설계되어진 컨트롤러는 재전송 매커니즘을 효과적으로 지원하기 위해 제안되어진 송신버퍼 구조를 가지고 있다. 이 버퍼 구조는 전송 버퍼와 재전송 버퍼를 한 개의 버퍼로 통합하여 재전송 버퍼의 공간을 유동적으로 할당할 수 있는 방법이다. 또한 설계되어진 컨트롤러의 송신단 전송계층은 제안되어진 버퍼 구조 효과적으로 지원하도록 설계되어 졌다. 설계 되어진 컨트롤러의 각 블록을 효과적으로 관리하기 위해 80C51 마이크로프로세서를 내장하여 PCI Express 프로토콜을 제공하는 프로그램을 코딩하여 포팅하였다. 또한 설계되어진 컨트롤러의 검증을 위해, Host Bridge, 로컬 마스터 디바이스, 로컬 슬레이브 디바이스를 버스 동작 모델로 구성된 테스트 벤치도 제안하였다. 또한 실제 PCI Express 프로토콜 상에서 발생할 수 있는 모든 경우를 발생 하도록 하기 위해, 각 버스 동작 모델을 위한 어셈블러 명령어들을 정의 하였다.

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Effects of an Individualized Cardiac Rehabilitation Education Program on Knowledge about Coronary Artery Disease, Compliance of Sick Role, and Vascular Health Status in Patients of Percutaneous Coronary Intervention (개별 심장재활 교육프로그램이 관상동맥중재술을 받은 환자의 질병관련지식, 환자역할이행과 혈관 건강상태에 미치는 효과)

  • Lee, Kyung Sim;Sung, Kyung Mi
    • The Korean Journal of Rehabilitation Nursing
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    • v.18 no.2
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    • pp.135-144
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    • 2015
  • Purpose: This study was conducted to examine the effects of an individualized cardiac rehabilitation education program on knowledge about coronary artery disease (CAD), compliance of sick role and vascular health status in patients with percutaneous coronary intervention (PCI). Methods: Quasi-experimental design-based nonequivalent control group pretest-posttest design was employed. Using convenience sampling, data were collected from 60 patients who underwent PCI at S Hospital in S City from September 2014 to February 2015. For examining the effects of an individualized cardiac rehabilitation education program, knowledge about CAD, compliance of sick role and vascular health status were measured. Results: The experimental group showed statistically significant differences in knowledge about CAD (t=24.21, p<.001), compliance with sick role (t=20.81, p<.001) and vascular health status (t=15.07, p<.001) compared to the control group. Conclusion: The individualized cardiac rehabilitation education program is effective in improving knowledge about CAD, compliance of sick role and vascular health status in patients who underwent PCI. Based on the findings of this study, nursing intervention programs focusing on individualized approach will be useful for patients undergoing PCI.

Updates in the Management of Coronary Artery Disease (관동맥질환 치료의 최신 지견)

  • Yang, Dong-Heon;Chae, Shung-Chull
    • The Korean Journal of Nuclear Medicine
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    • v.39 no.2
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    • pp.87-93
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    • 2005
  • Coronary artery disease (CAD) has been increasing during the last decade and is the one of major causes of death. The management of patients with coronary artery disease has evolved considerably. There are two main strategies in the management of CAD, complementary, not competitive, each other; the pharmacologic therapy to prevent and treat CAD and the percutaneous coronary Intervention (PCI) to restore coronary flow. Antiplatelet drugs and cholesterol lowering drugs have central roles in pharmacotherapy. Drug eluting stent (DES) bring about revolutional changes in PCI. In the management of patients with 57 segment elevation acute myocardial infarction (AMI), there has been a debate on the better strategy for the restoration of coronary flow. Thrombolytic therapy is widely available and easy to administer, whereas primary PCI is less available and more complex, but mote complete. Recently published evidences in the pharmacologic therapy including antiplatelet and stalin, and PCI including DES and reperfusion therapy in patients with ST segment elevation AMI were reviewed.

Development of Retina Photographing and Multi Channel Image Acquisition System for Thickness Measurement of Retina (망막 두께 측정을 위한 망막 촬영 및 다채널 영상획득장치 개발)

  • 양근호
    • Journal of the Institute of Convergence Signal Processing
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    • v.5 no.1
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    • pp.13-17
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    • 2004
  • In order to measure the retina thickness, the retina photographing system and the multi-channel high speed image data acquisition system is developed. This system requires the optical processing techniques and the high speed image processing techniques. The HeNe laser beam is projected the retina in artificial eye and then we sensed the reflected laser signal using APD array. The laser projection system on retina using optical instruments is implemented. In order to project the plane laser beam on retina, laser photographing system used the polygon mirror for horizontal scanning and the galvano mirror for vertical scanning. We acquired retina images in each channel of APD array, transferred computer using PCI interface the image data after real-time A/D converting.

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Strategies for Renal Protection in Cardiovascular Interventions

  • Ziad A. Ali;Javier Escaned;Dariusz Dudek;Jai Radhakrishnan;Keyvan Karimi Galougahi
    • Korean Circulation Journal
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    • v.52 no.7
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    • pp.485-495
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    • 2022
  • Coronary artery disease is highly prevalent in chronic kidney disease (CKD) and is a risk factor for contrast-associated acute kidney injury (CA-AKI), a complication of cardiovascular procedures that require contrast administration (e.g., coronary angiography, percutaneous coronary intervention [PCI]). CA-AKI has a major impact on morbidity, mortality, and healthcare resource utilization. The incidence of CA-AKI is particularly high in patients with pre-existing CKD, advanced age and comorbidities that increase the likelihood of CKD. The focus of the present review is to provide a brief overview on the assessment of the risk for and prevention of CA-AKI in patients undergoing angiography and PCI, including recognition of the important patient- and procedure-related factors that may contribute to CA-AKI. Preventive and treatment strategies, the mainstay of which is volume repletion by normal saline, are briefly discussed. The main focus of the review is placed on technical details of contrast minimization techniques, including ultra-low contrast angiography and zerocontrast PCI. Operator competence in such techniques is important to ensure that procedural challenges in patients with CKD, like vessel calcification, multivessel disease and complex anatomical subsets, are effectively addressed by PCI while minimizing the risk of CA-AKI.

Trends in Percutaneous Coronary Intervention and Coronary Artery Bypass Surgery in Korea

  • Lee, Heeyoung;Lee, Kun Sei;Sim, Sung Bo;Jeong, Hyo Seon;Ahn, Hye Mi;Chee, Hyun Keun
    • Journal of Chest Surgery
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    • v.49 no.sup1
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    • pp.60-67
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    • 2016
  • Background: Coronary angioplasty has been replacing coronary artery bypass grafting (CABG) because of the relative advantage in terms of recovery time and noninvasiveness of the procedure. Compared to other Organization for Economic Cooperation and Development (OECD) countries, Korea has experienced a rapid increase in coronary angioplasty volumes. Methods: We analyzed changes in procedure volumes of CABG and of percutaneous coronary intervention (PCI) from three sources: the OECD Health Data, the National Health Insurance Service (NHIS) surgery statistics, and the National Health Insurance claims data. Results: We found the ratio of procedure volume of PCI to that of CABG per 100,000 population was 19.12 in 2014, which was more than triple the OECD average of 5.92 for the same year. According to data from NHIS statistics, this ratio was an increase from 11.4 to 19.3 between 2006 and 2013. Conclusion: We found that Korea has a higher ratio of total procedure volumes of PCI with respect to CABG and also a more rapid increase of volumes of PCI than other countries. Prospective studies are required to determine whether this increase in absolute volumes of PCI is a natural response to a real medical need or representative of medical overuse.

Clinical Analysis of Inverse Planning for Radiosurgery ; Gamma Knife Treatment Plan Study (방사선 수술 역방향 치료계획 유용성 평가)

  • Jin, Seong Jin;Je, Jae Yong;Park, Cheol Woo
    • Journal of the Korean Society of Radiology
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    • v.9 no.6
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    • pp.343-348
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    • 2015
  • The purpose of this study is a comparison of forward planning(FP) and inverse planning(IP) of a radiosurgery procedure. 10 patients of acoustic schwannoma MR image were used for treatment plan. FP-1,2 and IP were established under the same condition. FP and IP were compared by number of shot, conformity index(CI), paddic conformity index(PCI), gradiant index(GI) and treatment time. On average the treatment plan produced by IP tool provided an improved or similar CI, PCI, GI and reduced treatment time as compared to the FP (CI;FP-1:0.85, FP-2:0.86, IP:0.94, PCI;FP-1:0.79, FP-2:0.81, IP:0.78, GI;FP-1:2.94, FP-2:2.94, IP:3.01). The inverse planning system provides a clinically useful plan while reducing the planning time and treatment time.

An Effective Method to Manage the Transmitter's Buffer in the Data Link Layer of the PCI Express (PCI 익스프레스의 데이터 연결 계층에서 송신단 버퍼 관리를 위한 효과적인 방법)

  • 현유진;성광수
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.41 no.5
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    • pp.9-16
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    • 2004
  • The data link layer of the PCI Express must have the transmitting buffer that contains the packets to transmit next time. Also it must have the retry buffer that contains the packets which were already transmitted but have not been acknowledged by the corresponding target device. In the separated buffer architecture, the data link layer can not transmit the packets in the transmitting buffer if the reiry buffer space is not enough. In this paper, we propose an efficient buffer architecture which merges the transmitting buffer and the retry buffer to a single buffer. Since the proposed buffer can dynamically assign the size of the transmitting buffer and the retry buffer, it can improve the buffer usage efficiency and the data transfer efficiency. The simulation result shows that the proposed buffer has the higher data transfer efficiency than the separated buffer architecture about 39% when the total buffer size is 8K byte.

Satellite Image Processing Software for Value-Added Products

  • Lee, Hae-Yeoun;Park, Won-Kyu;Kim, Seung-Bum;Kim, Tae-Jung;Yoon, Tae-Hun;Shin, Dong-Seok;Lee, Heung-Kyu
    • Korean Journal of Remote Sensing
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    • v.15 no.4
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    • pp.339-348
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    • 1999
  • To extract value-added products which are important in scientific area and practical life, e.g. digital elevation models, ortho-rectified images and geometric corrected images, Satellite Technology Research Center at Korea Advanced Institute of Science and Technology has developed a satellite image processing software called "Valadd-Pro". In this paper, "Valadd-Pro" software is briefly introduced and its main components such as precise geometric correction, ortho-rectification and digital elevation model extraction component are described. The performance of "Valadd-Pro" software was assessed on 10m resolution 6000 $\times$ 6000 SPOT panchromatic images (60km $\times$ 60km) using ground control points from GPS measurements. The height accuracy was measured by comparing our results with 100m resolution $DTEDs^{1)}$ produced by USGS and 60m resolution DEMs generated from digitized contours produced by National Geography Institute. Also, to show the superior performance of "Valadd-Pro" software, we compared the performance with that of commonly used PCI$\circledR$ commercial software. Based on the results, the geometric correction of "Valadd-Pro" software needs fewer ground control points than that of PCI$\circledR$ software and the ortho-rectification of "Valadd-Pro" software shows similar performance to that of PCI$\circledR$ software. In the digital elevation model extraction, "Valadd-Pro" software is two times more accurate and four times faster than PCI$\circledR$ software.ccurate and four times faster than PCI$\circledR$ software.