• Title/Summary/Keyword: Pci

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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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    • v.19 no.2
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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
    • Biomedical Science Letters
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    • v.29 no.4
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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.

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

  • 임태진;송현석
    • Journal of Korean Society for Quality Management
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    • v.31 no.4
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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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    • v.18 no.2
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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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The Analysis of the Effects of the Problem Centered Instruction and Explanatory Instruction (문제 중심 수업과 설명식 수업의 효과 분석)

  • 백선수;김원경
    • Education of Primary School Mathematics
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    • v.2 no.2
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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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A study on the Circuit Designed for Bottle-neck Rejection and Effective PCI (병목 현상 제거 및 효율적인 PCI 회로 설계에 관한 연구)

  • 이인섭;강정용;김환용
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.27 no.4C
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    • pp.365-370
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    • 2002
  • In this paper external image multi-processing digital signal the transmit is the possibility of doing system with the PCI the design. The bottle-neck which it follows in transmission ratio limit of the CPU and the circumference machineries and tools against the image data which with the improve one thing becomes the processing with the real-time efficiently the transmit and the control is the possibility of doing structure the proposed. The also with the resource amount used 13% reduced which PCI fast data transfer and DMA function. The designed is operation verification against the function and the timing which use Max+plus II.

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

  • Sim, Ki-Seob;Woan Hwang;Sohn, Dong-Seong;Suk, Ho-Chun
    • Nuclear Engineering and Technology
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    • v.20 no.4
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    • pp.241-245
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    • 1988
  • It is very important to investigate the behaviors of the material parameters governing PCI fuel failure during power ramp because PCI fuel failure is considered to be related to the operations limits of power reactors. In this study, the behavior characteristics of the material parameters such as hoop stress, hoop strain, ridge height, creep strain rate and strain energy in cladding were studied as a function of the operating parameters such as power shock and ramp rate. The FEMAXI-IV fuel rod performance analysis code was used for this study.

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

  • Kang, Yeong-Han;Kim, Bu-Sun;Park, Jong-Sam
    • Journal of radiological science and technology
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    • v.33 no.3
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    • pp.213-221
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    • 2010
  • The Purpose of this study was to determine the effective dose to an average patient from Coronary Angiography (CA) and Percutaneous Coronary Intervention (PCI). And to estimate the lifetime attributable risk (LAR) of cancer associated with radiation exposure from CA and PCI. The dose-area product (DAP) values to the patient were recorded from 60 CA and 58 PCI. A Monte Carlo based program PCXMC was used to calculate the effective dose from DAP values for each patient. Lifetime attributable risks were estimated with models developed in the National Academies' Biological Effects of Ionizing Radiation VII report. The mean DAP values was $53.76\;Gy{\cdot}cm^2$ for CA and $165.82\;Gy{\cdot}cm^2$ for PCI. Mean effective dose were 1.28 mSv in CA, 3.94 mSv in PCI. Results of Calculate organ dose, lung doses was 2.17 mSv in CA and 6.71 mSv in PCI. Female breast doses was 5.45 mSv in CA and 16.82 mSv in PCI. LAR estimates for CA varied from 1 in 1,508 for man to 1 in 1,357 for women. In PCI procedure varied from 1 in 553 for man to 1 in 482 for women. DAP can be used as the dose indicator to calculate the organ dose and effective dose of patient based on Monte Carlo simulation. These dose estimates derived from our simulation models suggest that CA and PCI are associated with a nonnegligible LAR of cancer. This risk varies markedly and is considerably greater for women, PCI than for man, CA.

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

  • Kim Bong-Ok;Chae Su-Sung;Kim Yong-Gun;Han Dong-Uck
    • The Journal of Korean Physical Therapy
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    • v.11 no.2
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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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