• Title/Summary/Keyword: SACE

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Discontinuation of antiplatelet therapy after stent-assisted coil embolization for cerebral aneurysms

  • Tae Gon Kim
    • Journal of Cerebrovascular and Endovascular Neurosurgery
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    • v.25 no.2
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    • pp.132-142
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    • 2023
  • Objective: Dual antiplatelet therapy (DAPT) is usually temporarily used after stent-assisted coil embolization (SACE), and is commonly converted to mono antiplatelet therapy (MAPT) for indefinitely. In this study, we aimed to find the possibility of discontinuing MAPT, and to determine the proper period of DAPT use. Methods: We used the Standard Sample Cohort DB dataset from the National Health Insurance Sharing Service. Among approximately 1 million people in the dataset, SACE was performed in 214 patients whose data this study analyzed. The relationship between discontinuation of antiplatelet therapy and intracranial hemorrhage or cerebral infarction was analyzed using multiple logistic regression, considering all confounding variables. The survival rate according to the continuation of antiplatelet therapy was obtained using Kaplan-Meier analysis, and the difference in survival rate according to the continuation of antiplatelet therapy was verified using the log-rank test. The hazard ratio according to continuation of antiplatelet therapy was obtained using the Cox proportional hazards model. The analysis was conducted by applying the same statistical method to the duration of DAPT use. Results: Among 214 patients who underwent SACE, 50, 159 and five patients continued, discontinued and did not use antiplatelet therapy (except at the time of procedure), respectively. In multiple logistic regression analysis, discontinuation of antiplatelet agents (including aspirin) and the period of DAPT use did not affect the occurrence of intracranial hemorrhage or cerebral infarction, considering various confounding factors. In the survival analysis according to the continuation of antiplatelet agents, patients who continued to use antiplatelet agents had a higher survival rate than those in other groups (p=0.00). The survival rate was higher in the rest of the group than in the group that received DAPT for three months (p=0.00). Conclusions: Continuation of antiplatelet agents or the period of DAPT use did not affect the occurrence of intracranial hemorrhage or cerebral infarction. Considering the survival rate, it would be better to maintain at least three months of antiplatelet therapy and it might be recommended to continue DAPT use for 12 months.

Serum Angiotensin-Converting Enzyme Levels in Coal Worker's Pneumoconiosis (탄광부 진폐증환자의 Angiotensin-Converting Enzyme 활성치)

  • Kim, Kyung-Dong;Choi, Myung-Sook;Lee, Chae-Hoon;Kim, Chung-Sook;Bae, Eun-Kyung
    • Journal of Yeungnam Medical Science
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    • v.6 no.1
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    • pp.109-119
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    • 1989
  • We measured fasting serum angiotensin -converting enzyme (SACE) in 100 healthy controls and 75 coal worker's pneumoconiosis (CWP) patients by a commercial kits($ACEcolor^{(R)}$, Fujirio Inc., Japan) and evaluated this manual method. The linear range extends to an activity of 80U/L. Precision on a commercial control serum (ACE control-$N^{(R)}$, Sigma Co.)with a mean value, of 9.47U/L yielded a within-run and between-run CVs are 5.6% (N=15) and 6.9% (N=14) respectively. SAVE in 75 CWP was $20.3{\pm}5.7U/L$ ($mean{\pm}s.d.$) ; higher than in healthy controls ($13.4{\pm}3.9U/L$, P<0.01). No correlation was found between SACE, sex, and age. The results suggest that the measurement of SACE and follow-up SACE in coal workers may be a useful diagnostic fools for CWP.

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CoSace: A Windows WebDAV Client Supporting Effective Collaborative Works (CoSpace: 효과적인 협업 작업을 지원하는 윈도우즈 웹데브 클라이언트)

  • Lee, Hong-Chang;Park, Jin-Ho;Lee, Myung-Joon
    • Journal of the Korea Society of Computer and Information
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    • v.14 no.2
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    • pp.79-89
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    • 2009
  • As an IETF standard protocol, WebDAV provides infrastructure for managing and authoring resources and supports asynchronous collaborative authoring on the Web. The CoSlide server is an extension of the Jakarta Slide WebDAV server, providing various workspaces and collaborative services through the WebDAV protocol. The CoSlide server supports workspaces for storing and sharing information of various users, and provides environment for effective collaborative authoring. Actual collaboration activities are performed through a collaboration client software which provides collaboration services along with the CoSlide server. In this paper, we describe the development of the CoSpace client which operates in association with the CoSlide server, presenting effective collaborative environment. The CoSpace client provides user interfaces for accessing and controlling the resources of each workspace on the CoSlide server. In particular, CoSpace provides the facility to launch an authoring application from its workspace view, automatic locking, and downloading the content to be edited, and resource movement using mouse drag & drop.

Classification of Ultrasonic NDE Signals Using the Expectation Maximization (EM) and Least Mean Square (LMS) Algorithms (최대 추정 기법과 최소 평균 자승 알고리즘을 이용한 초음파 비파괴검사 신호 분류법)

  • Kim, Dae-Won
    • Journal of the Korean Society for Nondestructive Testing
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    • v.25 no.1
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    • pp.27-35
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    • 2005
  • Ultrasonic inspection methods are widely used for detecting flaws in materials. The signal analysis step plays a crucial part in the data interpretation process. A number of signal processing methods have been proposed to classify ultrasonic flaw signals. One of the more popular methods involves the extraction of an appropriate set of features followed by the use of a neural network for the classification of the signals in the feature spare. This paper describes an alternative approach which uses the least mean square (LMS) method and exportation maximization (EM) algorithm with the model based deconvolution which is employed for classifying nondestructive evaluation (NDE) signals from steam generator tubes in a nuclear power plant. The signals due to cracks and deposits are not significantly different. These signals must be discriminated to prevent from happening a huge disaster such as contamination of water or explosion. A model based deconvolution has been described to facilitate comparison of classification results. The method uses the space alternating generalized expectation maximiBation (SAGE) algorithm ill conjunction with the Newton-Raphson method which uses the Hessian parameter resulting in fast convergence to estimate the time of flight and the distance between the tube wall and the ultrasonic sensor. Results using these schemes for the classification of ultrasonic signals from cracks and deposits within steam generator tubes are presented and showed a reasonable performances.