• 제목/요약/키워드: PCI

검색결과 481건 처리시간 0.022초

Clinical outcomes and characteristics of acute myocardial infarction patients with developing fever after percutaneous coronary intervention

  • Jae-Geun Lee;Yeekyoung Ko;Joon Hyouk Choi;Jeong Rae Yoo;Misun Kim;Ki Yung Boo;Jong Wook Beom;Song-Yi Kim;Seung-Jae Joo
    • Journal of Medicine and Life Science
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    • 제19권2호
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    • pp.46-56
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    • 2022
  • The incidence of fever complicating percutaneous coronary intervention (PCI) is rare. However, little is known regarding the cause of fever after PCI. Therefore, this study aimed to determine the clinical characteristics of patients with acute myocardial infarction (AMI), with or without fever, after PCI. We enrolled a total of 926 AMI patients who underwent PCI. Body temperature (BT) was measured every 4 hours or 8 hours for 5 days after PCI. Patients were divided into two groups according to BT as follows: BT<37.7℃ (no-fever group) and BT ≥37.7℃ (fever group). The 2 years clinical outcomes were compared subsequently. Fever after PCI was associated with higher incidence of major adverse cardiac events (MACE) (hazard ratio [HR], 1.56; 95% confidence interval [CI], 1.07-2.28; P=0.021), all-cause death (HR, 2.32; 95% CI, 1.18-4.45; P=0.014), cardiac death (CD) (HR, 2.57; 95% CI, 1.02-6.76; P=0.049), and any revascularization (HR, 1.69; 95% CI, 1.02-2.81; P=0.044) than without fever. In women, prior chronic kidney disease, lower left ventricular (LV) ejection fraction, higher LV wall motion score index, white blood cell count, peak creatine kinase-myocardial band level, and longer PCI duration were associated with fever after PCI. Procedures such as an intra-aortic balloon pump, extracorporeal membrane oxygenation, continuous renal replacement therapy, central and arterial line insertion, and cardiopulmonary resuscitation were related to fever after PCI. Fever after PCI in patients with AMI was associated with a higher incidence of MACE, all-cause death, CD, and any revascularization at the 2 years mark than in those without fever.

The Effect of Scalp Acupuncture and rTMS on Neuromotor Function in Photothrombotic Stroke Rat Model

  • Jong-Seong Park;Eun-Jong Kim;Min-Keun Song;Jung-Kook Kim;Ganbold Selenge;Sam-Gyu Lee
    • 대한의생명과학회지
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    • 제29권4호
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    • pp.263-273
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    • 2023
  • This study aimed to investigate effect of scalp acupuncture (SA) and repetitive transcranial magnetic stimulation (rTMS) intervention on neuromotor function in photothrombotic cerebral infarction (PCI) rat model. Sixty male SD rats were used. PCI was induced on M1 cortex of right frontal lobe. SA was performed at the Qianding (GV21), Xuanli (GB6) acupoints of ipsilesional M1. Low-frequency rTMS was delivered to contralesional M1. All rats were randomly divided into 4 groups: group A, normal (n, 15); group B, PCI without any stimulation intervention (n, 15); group C, PCI with SA (n, 15); group D, PCI with rTMS (n, 15). Rota-rod test and Ladder rung walking test (LWT) were done weekly for 8 weeks after PCI. SA or rTMS was started from post-PCI 4th day as protocol for 8 weeks. H/E stain and IHC were done. Western blot and qRT-PCR study were performed for MAP2 and BDNF from ipsilesional M1 peri-infarction tissue. Brain MRI study was conducted to quantify the volume of cerebral infarction. As a result, left forelimb and hindlimb function significantly improved more in group C and D than control group, with expressed more BDNF and MAP2. And brain MRI showed focal infarction of right M1 after PCI, and infarction volume progressively decreased in group C and D than group B from post-PCI 5th to 8th week. SA or rTMS was more effective than no intervention group on neuromotor function of PCI rat model. The functional recovery was associated with stimulation intervention-related neurogenesis.

EDF 기대손실에 기초한 공정능력지수의 붓스트랩 신뢰구간 (Bootstrap Confidence Intervals of the Process Capability Index Based on the EDF Expected Loss)

  • 임태진;송현석
    • 품질경영학회지
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    • 제31권4호
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    • pp.164-175
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    • 2003
  • This paper investigates bootstrap confidence intervals of the process capability index(PCI) based on the expected loss derived from the empirical distribution function(EDF). The PCI based on the expected loss is too complex to derive its confidence interval analytically, so the bootstrap method is a good alternative. We propose three types of the bootstrap confidence interval; the standard bootstrap(SB), the percentile bootstrap(PB), and the acceleration biased­corrected percentile bootstrap(ABC). We also perform a comprehensive simulation study under various process distributions, in order to compare the accuracy of the coverage probability of the bootstrap confidence intervals. In most cases, the coverage probabilities of the bootstrap confidence intervals from the EDF PCI turned out to be more accurate than those from the PCI based on the normal distribution. It is expected that the bootstrap confidence intervals from the EDF PCI can be utilized in real processes where the true distribution family may not be known.

Process Capability Analysis by a New Process Incapability Index

  • Kim, Hee-Jung;Cho, Gyo-Young
    • Journal of the Korean Data and Information Science Society
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    • 제18권2호
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    • pp.457-469
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    • 2007
  • Process Capability Indexes(PCI) are used as the measure for evaluation of process capability analysis and is the statistical method for efficient process control. The fourth generation $PCI(C_{psk})$ is constructed from $C_{pmk}$ by introducing the factor $\mid\mu-T\mid$ in the numerator as an extra penalty for the departure of the process mean from the preassigned target value T And Process Incapability Indexes(PII) are presented by inversing PCI and include the information of PCI. This paper introduces the PII $C_{ss}^*$ provide manager with various information of process and include Gage R&R. PII $C_{ss}^*$ is presented by inversing PCI $C_{psk}$ and include the information of PCI $C_{psk}$.

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문제 중심 수업과 설명식 수업의 효과 분석 (The Analysis of the Effects of the Problem Centered Instruction and Explanatory Instruction)

  • 백선수;김원경
    • 한국수학교육학회지시리즈C:초등수학교육
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    • 제2권2호
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    • pp.103-112
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    • 1998
  • The purpose of this study is to analyze the effects of the Problem Centered Instruction(PCI) and the Explanatory Instruction(El). Two classes of third grade children(69 children) were sampled from an elementary school in Chung-Buk and given a treatment. The results of this study as follows: (1) There was no significant difference between the PCI group and the El group. This means that the PCI doesn't decrease the computational ability, even though the ordinary calculation methods are not taught in the PCI group. (2) The PCI group got scores significantly higher than the El group on application problems. It may be interpreted that the PCI is more effective than the El in problem solving.

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병목 현상 제거 및 효율적인 PCI 회로 설계에 관한 연구 (A study on the Circuit Designed for Bottle-neck Rejection and Effective PCI)

  • 이인섭;강정용;김환용
    • 한국통신학회논문지
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    • 제27권4C호
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    • pp.365-370
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    • 2002
  • 본 논문에서는 외부 영상에서 다중 처리된 디지털 신호를 PCI로 전송할 수 있는 시스템을 설계하였다. CPU와 주변기기들의 전송율 제한에 따른 병목 현상을 개선한 것으로 실시간으로 처리되는 영상 데이터에 대하여 효율적으로 전송 및 제어할 수 있는 구조를 제안하였다. 또한 PCI로 빠른 데이터 전송 및 DMA 기능으로 자체적인 부하 사용량을 13% 줄였다. 설계는 Max+plusII를 이용한 기능 및 타이밍에 대한 동작 검증을 하였다.

핵연료봉의 PCI파손에 영향을 미치는 인자들의 거동분석 (The Behaviors of the Material Parameters Affecting PCI Induced-Fuel Failure)

  • Sim, Ki-Seob;Woan Hwang;Sohn, Dong-Seong;Suk, Ho-Chun
    • Nuclear Engineering and Technology
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    • 제20권4호
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    • pp.241-245
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    • 1988
  • 핵연료봉의 PCI 파손은 원자로의 운전제한과 밀접한 관계가 있기 때문에, 출력급증 조건에서 핵연료봉의 PCI 파손을 지배하는 파손인자들의 거동을 검토하는 것은 매우 중요하다. 본 연구에서는 피복관에서의 원주방향 응력, 원주방향 변형도, 원주방향 주름 높이, 크립 변형율 및 변형도 에너지등의 파손인자들에 대한 거동특성을 핵연료봉 성능해석용 전산코드인 FEMAXI-IV를 이용하여 출력급증량 및 출력증가율의 운전인자들의 함수로 검토하였다.

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관상동맥조영술과 경피적관상동맥중재술에서 환자 선량과 암 발생 생애귀속위험 평가 (Radiation Dose and Estimate of Lifetime Attributable Risk of Cancer from Coronary Angiography and Percutaneous Coronary Intervention)

  • 강영한;김부순;박종삼
    • 대한방사선기술학회지:방사선기술과학
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    • 제33권3호
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    • pp.213-221
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    • 2010
  • 관상동맥질환의 진단과 치료를 위한 관상동맥조영술(Coronary Angiography, CA)과 경피적관상동맥중재술(Percutaneous Coronary Intervention, PCI) 과정에서 환자에 대한 유효선량을 알아보고, 이 선량으로 인한 암 발생위험을 CA와 PCI를 구분하여 평가해 보고자 하였다. CA를 시행한 환자 60명과 PCI 시술을 받은 환자 58명을 대상으로 DAP(dose-area product)를 측정하였고, 몬테카를로 시뮬레이션(Monte Carlo simulations) 프로그램(PCXMC 1.5)을 이용하여 유효선량과 장기선량을 산출하였다. 암 발생의 생애귀속위험의 평가는 전리방사선 생물학적 효과 위원회의 7차 보고서(BEIR VII)를 활용하였다. 그 결과 대상자의 DAP 값 평균은 CA군에서 $53.76\;Gy{\cdot}cm^2$이었고, PCI군에서는 $165.82\;Gy{\cdot}cm^2$이었다. 유효선량은 CA군에서 평균 1.28 mSv이었고, PCI군에서는 3.94 mSv이었다. 장기선량은 폐에서 CA군 2.17 mSv, PCI군 6.71 mSv이었고, 여성 유방선량은 CA에서 5.45 mSv, PCI에서 16.82 mSv이었다. 암 발생 생애귀속위험은 CA에서 남성은 1,508명 중 1명, 여성은 1,357명 중 1명이었고, PCI에서는 남성 553 중 1명, 여성은 482명 중 1명이었다. DAP 값은 몬테 카를로 시뮬레이션을 기본으로 하여 장기선량과 유효선량을 계산할 수 있는 지표가 되었다. CA와 PCI 과정에서 환자에게 노출되는 방사선량은 무시할 수 없는 암 발생의 생애귀속위험이 된다. 또한 암 발생 위험은 PCI군에서 더 높았고, 남성보다는 여성이 더 높았다.

Design Data Acquisition System Using Embedded PCI Local Bus Core

  • Lee, Sangdeok;Woonchul Ham
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2002년도 ICCAS
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    • pp.53.5-53
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    • 2002
  • 1. Introduction 2. PCI Local Bus Specification Abstract 3. Design Embedded PCI Local Bus 4. Simulation Results 5. DAS Application Design Methodology 6. Conclusion

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정상 성인의 발목에 부가된 하중에 의한 보행 중 에너지 소모도 변화 (Change of energy consumption according to loading on the ankle of normal adults during gait)

  • 김봉옥;채수성;김용건;한동욱
    • The Journal of Korean Physical Therapy
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    • 제11권2호
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    • pp.43-50
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    • 1999
  • The purpose of this study was to evaluate the change of the energy consumption when loading to leg of the 60persons who don't have past history of cardiopulmonary and neuromuscular disease, To evaluate the change or energy consumption, heart rate was measured in sitting position for 5minute, during walking for 3minute at for 4.8km on treadmill, and during resting state after walking with 1Kg loading to right ankle, and the other 1Kg loading was added to left ankle and then heart rates were measured in the The results were as follow; 1. PCI value without loading to Ankle were significantly increased compared to 1Kg, and 2Kg. (p<0.05) 2. Female Subjects showed mon increased PCI value in without leading and 2Kg loading compared to male subjects. ( p<0.05) 3. When 1Kg ana 2Ka loading to ankle significantly differences were showed between them. (p<0.05) 4. In the case of 1Kg and 2Kg loading, the difference among age groups was observed and the significant difference among PCI, PCI 1kg, PCI 2kg was showed in the only group that is less than 30 years old. 5. In every PCI condition the difference among height groups was observed and the significant difference among PCI conditions was showed in the only group that is less than 165cm. 6. The difference among weight groups in each PCI condition was not observed, but the significant differences among PCI conditions was showed in every group except the group that h from 60kg to 69kg. These results showed that energy consumption was increased according to loading on the ankle during Sate so weight of orthosis or prosthesis met be considered when choosing them and during gait training with these ones.

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