• Title/Summary/Keyword: PCI 2.2

검색결과 219건 처리시간 0.028초

The Effects of Exercise-based Cardiac Rehabilitation Phase II on Pro- and Anti-inflammatory Markers in Patients with Acute Coronary Syndrome

  • Kim, Al-Chan;Oh, Jae-Keun;Shin, Kyung-Ah;Kim, Young-Joo
    • 대한의생명과학회지
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    • 제19권1호
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    • pp.61-69
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    • 2013
  • The aim of this study was to evaluate the effect of exercise-based cardiac rehabilitation on pro- and anti-inflammatory markers in patients with acute coronary syndrome (ACS). ACS patients who underwent percutaneous coronary intervention (PCI) and took medicine during phase II of rehabilitation were recruited for study. Subjects were divided into two groups; exercise group (EX, n=21) and a non-exercise group (non-EX, n=13). Supervised exercise program in hospital consisted of treadmill and bicycle exercise was performed three times per week for 6 weeks. Patients of EX received individual counseling, including knowledge of heart disease, risk factor modification, and physical training. Cardiopulmonary fitness, body composition, and biochemical blood factors were analyzed before and after experiment. There was no significant difference in serum levels of hs-CRP and TGF-${\beta}1$ between groups, and between time intervals. But there was a significant decrease in serum levels of IL-18 (P<.001). And there was a significant increase in ratio of IL-18 to IL-10 (P<.01) and serum levels of IL-10 (P<.001). After cardiac rehabilitation, there was significant increase in exercise duration (P<.001), maximal oxygen uptake ($VO_{2peak}$; P<.001) and decrease in submaximal rate-pressure product (sRPP; P<.05) in EX. In conclusion, exercise-based cardiac rehabilitation during phase II in patients with ACS after PCI decreased serum IL-18 (pro-inflammatory) content and ratio of IL-18 to IL-10 in serum (highly related with disease recurrence), and increased serum IL-10 (anti-inflammatory) content. In addition, it led to improved cardiopulmonary fitness.

관상동맥중재술 시행 환자의 질병관련지식, 환자역할행위이행 및 교육 요구도에 대한 시기별 비교 연구 (A study on the Difference of Disease Related Knowledge Level, Compliance of Health Behavior, and Educational Needs according to Time in Percutaneous Coronary Intervention Patients)

  • 강경자;유현정;이희주
    • 성인간호학회지
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    • 제22권2호
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    • pp.190-199
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    • 2010
  • Purpose: The purpose of this study was to determine the differences in the level of disease related knowledge, compliance of health behavior, and educational needs in relation to time (at discharge and 6 months after discharge) among patients underwent percutaneous coronary intervention (PCI). Methods: Data were collected from January 1, 2006 to September 30, 2006 and a total of 60 patients participated in the study. The survey was conducted in patients underwent PCI at the time of discharge right after discharge education was provided and at a follow up visit which was 6 months after discharge. Results: The level of disease related knowledge (p<.001), the compliance of health behavior (p<.001), educational need (p=.496), the sub-item of sexual life (p<.001), follow up (p<.001), diet (p=.021), stress (p<.001) in compliance of health behavior, and the sub-item of specific character of disease in educational needs (p=.015) were significantly different between discharge and 6 months after discharge. Conclusion: The results of this study suggested that further education should be provided to the patients underwent PCI regarding medication, smoking cessation, daily life and exercise at a time of 6 months after discharge in order to increase patient compliance of health behavior.

흡연이 전문가치면세정술 및 세균막관리교육 효과에 미치는 영향 (The Effect of Professional Tooth Cleaning and Plaque Control Instruction according to the Smoking Behavior)

  • 한경순;배광학;권순복;한수진;최준선
    • 보건교육건강증진학회지
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    • 제26권2호
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    • pp.25-33
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    • 2009
  • Objectives: Smoking is related to periodontal disease and periodontal therapy. So the aim of this study was to investigate the effects of professional tooth cleaning and plaque control instruction (PT & PCI) for smoking behavior. Methods: A total of 151 adults were investigated using the O'Leary Plaque Index (PI), $L\ddot{o}e$ & Silness gingival index (GI) and the number of sextants possessing periodontal pocket (SPP). And adults were given a through dental scaling and Watanabe method for dental plaque control. Follow up examination were conducted after 3 months and compared the pre and post- status. The collected data were analyzed with t-test, paired t-test and one-way analysis of variance. Results: Regardless of smoking behavior, improving effects were identified after PT & PCI on PI, GI and SPP in the whole population. However, the effects of GI improvement were significant in the smoking group alone; those of PI improvement were most significant in the non-smoking group; and those of SPP improvement were more significant in non-smoking and pre-smoking groups than in the smoking group. The shorter period of smoking and the smaller amount of smoking, the greater effects of PT & PCI by smoking-related characteristics. Conclusion: Smoking cessation instruction should necessarily be included in oral health education in that smoking is an important factor to consider in prevention of periodontal diseases and periodontal therapies.

전문가치면세정술과 세균막관리교육의 임플란트 주위염 감소 효과 (The Effects of Professional Tooth Cleaning and Plaque Control Instruction on Reduction of Peri-implantitis)

  • 박경화;한경순
    • 치위생과학회지
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    • 제12권2호
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    • pp.163-170
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    • 2012
  • 전문가치면세정술과 세균막관리교육이 임플란트 주위염 감소에 미치는 효과를 분석하기 위하여 2009년 12월 9일부터 2011년 1월 31일까지 상 하악 대구치부위에 임플란트 식립 후 보철치료까지 완료한 80명의 부분 무치악 환자와 이들에게 식립된 193개의 임플란트를 대상으로 실험군과 대조군을 추출하였다. 실험군은 Watanabe method로 전문가치면세정술을 실시한 후 같은 방법으로 잇솔질교육을 하였고, 대조군에게는 엔진을 이용한 치면연마와 회전법으로 잇솔질 교육을 실시하였으며, 시작일 이후 3, 6, 9개월 재내원하여 반복시행하였고, 치면세균막 검사, 치은염 검사, 임플란트 변연골소실량 검사를 실시하여 다음과 같은 결론을 얻었다. 1. 전문가치면세정술과 세균막관리교육을 적용한 실험군은 대조군에 비해 6개월 후와 9개월 후에서 치면세균막지수와 치은염지수가 유의하게 낮았고(p<0.05), 변연골소실량에서는 실험군(0.15 mm)이 대조군(0.24 mm)보다 낮아(p=0.155) 차이가 있을 수 있었으며, 전문가치면세정술과 세균막관리교육은 치면세균막지수와 치은염지수에 영향력 있는 요인으로 분석되었다. 2. 임플란트 특성에서 치면세균막지수는 상악이 하악보다 3, 6, 9개월 후에서 유의한 수준으로 낮았고(p<0.05), 기능부하 12개월 이하 군이 13개월 이상 군보다 6개월 후에서 낮았으며(p<0.05), 변연골소실량은 시작일과 9개월 후에서 이회법 시술방식이 일회법 시술방식보다 낮았고, 기능부하 12개월 이하 군이 13개월 이상 군보다 낮게 나타났다(p<0.05). 이상의 결과를 종합해 볼 때 Watanabe method를 이용한 전문가치면세정술과 세균막관리교육은 임플란트 주위염을 예방하고 발생된 임플란트 주위염을 개선하는데 효과적인 방법이라고 할 수 있다. 따라서 임플란트 주위염으로 인한 실패를 감소시킬 수 있는 방법으로 전문가치면세정술을 주기적으로 실시하고, 환자 개인별 적합한 잇솔질 방법을 지속적으로 교육하는 임플란트 계속관리제도 도입에 대한 고려가 필요할 것으로 사료된다.

도시기상모델 CFD_NIMR의 GP-GPU 실행을 위한 병렬 프로그램의 구현 (GP-GPU based Parallelization for Urban Terrain Atmospheric Model CFD_NIMR)

  • 김영태;박혜자;최영진
    • 인터넷정보학회논문지
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    • 제15권2호
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    • pp.41-47
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    • 2014
  • 본 논문은 도시기상모델인 전산유체역학모델(CFD_NIMR)을 GP-GPU에서 실행시키기 위해 CUDA Fortran 병렬프로그램을 구현하였다. GP-GPU는 원래 PCI 카드 형태의 그래픽 처리 장치이지만 저비용, 저전력으로 대량의 계산을 초고속으로 수행할 수 있는 일반 계산 가속기이다. 모델을 단일 Intel XEON 2.0 GHz CPU에서 실행한 결과와 Nvidia Tesla C1060 GPU에서 실행한 성능을 비교하였을 때 GP-GPU에서 15배 정도의 빠른 속도를 보였다. 또한 다중 CPU를 사용한 MPI 병렬프로그램과 비교한 경우에도 GP-GPU에서 보다 더 효율적인 성능을 보였다. 본 논문에서 제시한 프로그램 방식은 유사한 구조를 가진 수치모델을 GP-GPU 병렬 프로그램으로 구현하는데 쉽게 적용할 수 있을 것으로 기대한다.

경피적 관상동맥 중재술을 시행한 대상자에게 적용한 비약물적 중재가 주요 심혈관 사건에 미치는 효과: 체계적 문헌고찰과 메타분석 (Effects of Non-Pharmacological Interventions on Major Adverse Cardiac Events in Patients Underwent Percutaneous Coronary Intervention: Systematic Review and Meta-Analysis)

  • 조소정;이해정;박가은
    • 대한간호학회지
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    • 제54권3호
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    • pp.311-328
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    • 2024
  • Purpose: In this study a systematic review and meta-analysis investigated the impact of non-pharmacological interventions on major adverse cardiac events (MACE) in patients with coronary artery disease who underwent percutaneous coronary intervention (PCI). Methods: A literature search was performed using PubMed, Cochrane Library, EMBASE, and Cumulative Index to Nursing & Allied Health Literature databases up to November 2023. The risk of bias was assessed using the Cochrane Risk of Bias 2.0 tool. Effect sizes and 95% confidence intervals were calculated using R software (version 4.3.2). Results: Eighteen randomized studies, involving 2,898 participants, were included. Of these, 16 studies with 2,697 participants provided quantitative data. Non-pharmacological interventions (education, exercise, and comprehensive) significantly reduced the risk of angina, heart failure, myocardial infarction, restenosis, cardiovascular-related readmission, and cardiovascular-related death. The subgroup meta-analysis showed that combined interventions were effective in reducing the occurrence of myocardial infarction (MI), and individual and group-based interventions had significant effects on reducing the occurrence of MACE. In interventions lasting seven months or longer, occurrence of decreased by 0.16 times, and mortality related to cardiovascular disease decreased by 0.44 times, showing that interventions lasting seven months or more were more effective in reducing MI and cardiovascular disease-related mortality. Conclusion: Further investigations are required to assess the cost-effectiveness of these interventions in patients undergoing PCI and validate their short- and long-term effects. This systematic review underscores the potential of non-pharmacological interventions in decreasing the incidence of MACE and highlights the importance of continued research in this area (PROSPERO registration number: CRD42023462690).

기존 아날로그 발전소를 위한 디지탈 감시계통의 여유도 잇점평가 (Margin Benefit Assessment of A Digital Monitoring System for Existing Analog Plants)

  • Auh, Geun-Sun;Yoon, Tae-Young
    • Nuclear Engineering and Technology
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    • 제26권2호
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    • pp.294-299
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    • 1994
  • 운전중인 Westinghouse형 원자력 발전소에 디지탈 감시계통을 설치하였을 시의 정량적인 여유도 잇점을 계산하였다. 적용된 발전소는 영광 원자력 1호기 6주기이며 참조한 디지탈 감치계통은 ABB-CE 사의 COLSS이다. 고려된 핵연료 설계제한 한계는 DNBR과 LUCA Fq이다. 평가를 위해 기존 CAOC 한계내에서 200가지의 3-D 출력 분포를 계산하였다. 영광 1호기 6주기의 DNB 관련 가장 제한적인 사고인 CEA 인출사고를 해석하였다. 평가결과 DMS를 설치하면 DNB와 LOCA Fq 관점에서 모두 7%출력 증가 효과를 가져올 수 있을 것으로 나타났다. DMS를 설치하면 PCI 한계도 감시할 수 있다.

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관상동맥 약물 용출 스텐트 삽입 후 항혈소판제제 3제요법과 2제요법의 임상적 효과 비교 (Effect of Triple Compared to Dual Antiplatelet Therapy After Drug-Eluting Stent Implantation in Percutaneous Coronary Intervention)

  • 예경남;김정태;이숙향
    • 한국임상약학회지
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    • 제22권2호
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    • pp.113-122
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    • 2012
  • ACC/AHA/SCAI Guideline recommends for administration dual antiplatelet therapy after drug-eluting stent (DES) to prevent restenosis and stent thrombosis in patients with percutaneous coronary intervention (PCI). Recently triple antiplatelet therapy including cilostazol is known to reduce restenosis and stent thrombosis significantly after DES implantation. However, there is lack of data providing the efficacy of triple antiplatelet therapy. The purpose of this study is to evaluate the clinical effects of the triple therapy after DES implantation compared with the dual therapy. This retrospective study collected data from medical charts of 251 patients who received DES implantation between Jul 2006 and Jun 2008. They received either dual antiplatelet therapy (N = 154 clopidogrel and aspirin; Dual group) or triple antiplatelet therapy (N = 97 cliostazol, clopidogrel and aspirin; Triple group). Major adverse cardiac event rates (MACE, included total death, myocardial infarction, target lesion revascularization) at 12 months, 24 months, stent thrombosis, rates of bleeding complications and adverse drug reactions were compared between these two groups. Compared with the dual group, the triple group had a similar incidence of the MACE rates at 24months (12.3% vs. 12.4%, p = 0.99). There is no difference in overall stent thrombosis between two groups (Dual group 2.6% vs. Triple group 4.1%, p = 0.5). Subgroup analysis showed that diabetic patients got more benefit in reducing MACE rates but, there is no statistical difference. Bleeding complications and adverse drug effects were not different significantly. As compared with dual antiplatelet therapy, triple antiplatelet therapy did not reduce the 12-months, 24-months MACE rates and stent thrombosis. Bleeding complications and adverse drug effects were not different.

경피적관상동맥중재술을 시행한 후 발생한 흉통(胸痛)에 대한 한방치료 1례 (Case Report of Korean Medical Treatment of Chest Pain After Percutaneous Coronary Intervention)

  • 민선우;김학겸;문지성;김예슬;박지윤;정지천
    • 대한한방내과학회지
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    • 제42권2호
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    • pp.184-196
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    • 2021
  • Objectives: This case report presents the effects of Korean medical treatment in a patient with chest pain after percutaneous coronary intervention (PCI). Methods: An 80-year-old woman was treated with Korean herbal medicine, acupuncture, and cupping therapy. Chest pain, sore tongue, and headache were assessed daily using a numeric rating scale (NRS). Results: After 15 days of treatment, chest pain disappeared, as reflected by an NRS change from 9 to 0, and headache was relieved (NRS decreased from 9 to 2). On the eighth day of treatment, the sore tongue was also relieved, as reflected by an NRS change from 9 to 0. Conclusion: These results show that chest pain after PCI can be relieved with Korean medical treatment, and it is expected that major adverse cardiac events (MACEs) may be prevented with Korean medical treatment. However, additional well-designed studies are required to confirm these findings.

IEEE802.11 매체 접속 제어의 분석 및 구현에 관한 연구 (A Study on the IEEE802.11 MAC Analysis and Implementation)

  • 김지훈;안도랑;이동욱
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2002년도 합동 추계학술대회 논문집 정보 및 제어부문
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    • pp.469-471
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    • 2002
  • This paper presents analysis of the IEEE802.11 MAC protocol and implementation of the asynchronous communication portion of the IEEE802.11 MAC protocol. we have used PRISM2 chipsets from intertsil to build physical layer and PCI controller from PLX to interface LLC layer. This study is shown to be able to apply to MAC implementation in high speed LAN.

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