• Title/Summary/Keyword: First-pass effect

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Effectiveness and Technical Considerations of Solitaire Platinum 4×40 mm Stent Retriever in Mechanical Thrombectomy with Solumbra Technique

  • Yi, Ho Jun;Sung, Jae Hoon;Lee, Dong Hoon;Song, Seung Yoon
    • Journal of Korean Neurosurgical Society
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    • v.64 no.1
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    • pp.30-38
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    • 2021
  • Objective : The Solitaire Platinum 4×40 mm stent retriever contains radiopaque markers with a long length. We evaluated the effect of Solitaire Platinum 4×40 mm stent retriever in Solumbra technique thrombectomy, and compared it with shorter Solitaire stent retrievers. Methods : A total of 70 patients who underwent Solumbra technique thrombectomy with equal diameter (4 mm) and different length (40 vs. 20 mm) Solitaire stent retrievers were divided into two groups : the Solitaire Platinum 4×40 mm stent (4×40) group and the Solitaire FR 4×20 mm stent or Solitaire Platinum 4×20 mm stent (4×20) group. The clinical outcomes, Thrombolysis in Cerebral Infarction score, the first pass reperfusion status, and complications were evaluated and compared between the two groups. Multivariate analysis was performed to evaluate the predictive factors for reperfusion and complete reperfusion from the first pass. Results : Higher first-pass reperfusion and complete reperfusion were achieved in the 4×40 group (68.0% and 48.0%) than in the 4×20 group (46.7% and 33.3%; p=0.004 and 0.007, respectively). In multivariate analysis, radiopaque device and longer stent retriever were correlated with first-pass reperfusion (p=0.014 and 0.008, respectively) and first-pass complete reperfusion (p=0.022 and 0.012, respectively). Conclusion : Our study demonstrated the usefulness of the Solitaire Platinum 4×40 mm stent retriever, which led to higher first-pass reperfusion and complete reperfusion rates than the Solitaire FR 4×20 mm stent or the Solitaire Platinum 4×20 mm stent, especially in Solumbra technique thrombectomy.

Effect of Cross/Parallel Rib Configurations on Heat/Mass Transfer in Rotating Two-Pass Turbine Blade Internal Passage (회전하는 터빈 블레이드 내부 이차냉각유로에서 엇갈린요철과 평행요철이 열/물질전달에 미치는 영향)

  • Lee, Se-Yeong;Lee, Dong-Ho;Jo, Hyeong-Hui
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.26 no.9
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    • pp.1249-1259
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    • 2002
  • The present study investigates the convective heat/mass transfer inside a cooling passage of rotating gas-turbine blades. The rotating duct has various configurations made of ribs with 70。 attack angle, which are attached on leading and trailing surfaces. A naphthalene sublimation technique is employed to determine detailed local heat transfer coefficients using the heat and mass transfer analogy. The present experiments employ two-surface heating conditions in the rotating duct because the surfaces, exposed to hot gas stream, are pressure and suction side surfaces in the middle passages of an actual gas-turbine blade. In the stationary conditions, the parallel rib arrangement presents higher heat/mass transfer characteristics in the first pass, however, these characteristics disappear in the second pass due to the turning effects. In the rotating conditions, the cross rib present less heat/mass transfer discrepancy between the leading and the trailing surfaces in the first pass. In the second pass, the heat/mass transfer characteristics are much more complex due to the combined effects of the angled ribs, the sharp fuming and the rotation.

Effect of simulated double cycle welding on HAZ microstructure for HSLA steels

  • El-Kashif, Emad F.;Morsy, Morsy A.
    • Advances in materials Research
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    • v.7 no.3
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    • pp.195-201
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    • 2018
  • High Strength low alloy steels containing various levels of C, Nb and Mn were used and for each of which, a simulated double thermal cycle was applied with the same first peak temperature and different second peak temperatures to produce HAZ microstructure corresponding to multi-pass weld. Effect of double cycle second temperature on the microstructure was observed and compared with single cycle results obtained from previous works, it was found that the percentage of martensite austenite constituent (MA) increases by Nb addition for all steels with the same Mn content and the increase in Mn content at the same Nb content shows an increase in MA area fraction as well. MA area fraction obtained for the double cycle is larger than that obtained for the single cycle for all steels used which imply that MA will have great role in the brittle fracture initiation for double cycle and the inter-pass temperature should be controlled for medium and high-carbon Mn steel to avoid large area fraction of MA. The beneficial effects of Niobium obtained in single pass weld were not observed for the double cycle or multi pass welds.

Predictive Factors of First-Pass Effect in Patients Who Underwent Successful Endovascular Thrombectomy for Emergent Large Vessel Occlusion

  • In-Hyoung Lee;Jong-Il Choi;Sung-Kon Ha;Dong-Jun Lim
    • Journal of Korean Neurosurgical Society
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    • v.67 no.1
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    • pp.14-21
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    • 2024
  • Objective : The primary treatment goal of current endovascular thrombectomy (EVT) for emergent large-vessel occlusion (ELVO) is complete recanalization after a single maneuver, referred to as the 'first-pass effect' (FPE). Hence, we aimed to identify the predictive factors of FPE and assess its effect on clinical outcomes in patients with ELVO of the anterior circulation. Methods : Among the 129 patients who participated, 110 eligible patients with proximal ELVO (intracranial internal carotid artery and proximal middle cerebral artery) who achieved successful recanalization after EVT were retrospectively reviewed. A comparative analysis between patients who achieved FPE and all others (defined as a non-FPE group) was performed regarding baseline characteristics, clinical variables, and clinical outcomes. Multivariate logistic regression analyses were subsequently conducted for potential predictive factors with p<0.10 in the univariate analysis to determine the independent predictive factors of FPE. Results : FPE was achieved in 31 of the 110 patients (28.2%). The FPE group had a significantly higher level of functional independence at 90 days than did the non-FPE group (80.6% vs. 50.6%, p=0.002). Pretreatment intravenous thrombolysis (IVT) (odds ratio [OR], 3.179; 95% confidence interval [CI], 1.025-9.861; p=0.045), door-to-puncture (DTP) interval (OR, 0.959; 95% CI, 0.932-0.987; p=0.004), and the use of balloon guiding catheter (BGC) (OR, 3.591; 95% CI, 1.231-10.469; p=0.019) were independent predictive factors of FPE. Conclusion : In conclusion, pretreatment IVT, use of BGC, and a shorter DTP interval were positively associated with FPE, increasing the chance of acquiring better clinical outcomes.

Investigation of the Characteristics of New, Uniform, Extremely Small Iron-Based Nanoparticles as T1 Contrast Agents for MRI

  • Young Ho So;Whal Lee;Eun-Ah Park;Pan Ki Kim
    • Korean Journal of Radiology
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    • v.22 no.10
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    • pp.1708-1718
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    • 2021
  • Objective: The purpose of this study was to evaluate the magnetic resonance (MR) characteristics and applicability of new, uniform, extremely small iron-based nanoparticles (ESIONs) with 3-4-nm iron cores using contrast-enhanced magnetic resonance angiography (MRA). Materials and Methods: Seven types of ESIONs were used in phantom and animal experiments with 1.5T, 3T, and 4.7T scanners. The MR characteristics of the ESIONs were evaluated via phantom experiments. With the ESIONs selected by the phantom experiments, animal experiments were performed on eight rabbits. In the animal experiments, the in vivo kinetics and enhancement effect of the ESIONs were evaluated using half-diluted and non-diluted ESIONs. The between-group differences were assessed using a linear mixed model. A commercially available gadolinium-based contrast agent (GBCA) was used as a control. Results: All ESIONs showed a good T1 shortening effect and were applicable for MRA at 1.5T and 3T. The relaxivity ratio of the ESIONs increased with increasing magnetic field strength. In the animal experiments, the ESIONs showed peak signal intensity on the first-pass images and persistent vascular enhancement until 90 minutes. On the 1-week follow-up images, the ESIONs were nearly washed out from the vascular structures and organs. The peak signal intensity on the first-pass images showed no significant difference between the non-diluted ESIONs with 3-mm iron cores and GBCA (p = 1.000). On the 10-minutes post-contrast images, the non-diluted ESIONs showed a significantly higher signal intensity than did the GBCA (p < 0.001). Conclusion: In the phantom experiments, the ESIONs with 3-4-nm iron oxide cores showed a good T1 shortening effect at 1.5T and 3T. In the animal experiments, the ESIONs with 3-nm iron cores showed comparable enhancement on the first-pass images and superior enhancement effect on the delayed images compared to the commercially available GBCA at 3T.

Comparative study of rifampicin pharmacokinetics administered orally and intravenously in the fasted and non-fasted rats

  • Shim, Chang-Koo;Lee, Jeong-Uk
    • Archives of Pharmacal Research
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    • v.8 no.3
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    • pp.177-186
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    • 1985
  • Effect of food on the absorption characteristics of oral rifampicin was studied in the fasted rats. Rifampicin dissolved in a new cosolvent was also injected to the rats intravenously, and the pharmacokinetic analysis was performed to explain the effect of food on the gastrointestinal absorption of rifampicin. Rifampicin was absorbed rapidly and completely in the fasting state. Food had a profound effect on the gastrointestinal absorption of rifampicin, i. e., bioavailability and the extent of absorption were decreased to less than one-third of the fasting state in the postprandial state. Food seemed to imhibit the absorption and reabsorption of rifampicin in the gastrointestinal tract, but not the absorption rate constant. Hepatobiliary excretion seemed to be the major route of elimination, since the renal clearance accounted for only 8 % of the systemic clearance. Nevertheless, first-pass effect was negligibly small and most of rifampicin absorbed could reach systemic circulation. Serum concentration change of oral rifampicin on multiple dosing differed markedly in the fasting and postprandial state, which suggested the need of careful adjustment of dosage regimen in both states.

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Effect of Heat/Mass Transfer in the turbine blade internal passage with various rib arrangement (회전하는 터빈 블레이드 이차유로내 요철 배열이 열/물질전달에 미치는 영향)

  • Lee, Sei-Young;Cho, Hyung-Hee
    • Proceedings of the KSME Conference
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    • 2001.11b
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    • pp.22-29
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    • 2001
  • The present study investigates the effects of various rib arrangements and rotating on heat/mass transfer in the cooling passage of gas turbine blades. The cooling passage has very complex flow structure, because of the rib turbulator and rotating effect. Experiments and numerical calculation are conducted to investigate the complex flow structures and heat transfer characteristics; the numerical computation is performed using a commercial code, FLUENT ver.5, to calculate the flow structures and the experiments are conducted to measure heat/mass transfer coefficients using a naphthalene sublimation technique. For the rotating duct tests, the test duct, which is the cross section of is $20mm\times40mm$ (the hydraulic diameter, $D_h$, of 26.7 mm, has two-pass with $180^{\circ}$ turning and the rectangular ribs on the wall. The rib angle of attack is $70^{\circ}$ and the maximum radius of rotation is $21.63D_h$. The partition wall has 10 mm thickness, which is 0.5 times to the channel width, and the distance between the tip of the partition wall and the outer wall of the turning region is 26.7 mm $(1D_h)$. The turning effect of duct flow makes the very complex flow structure including Dean type vortex and high turbulence, so that the heat/mass transfer increases in the turning region and at the entrance of the second pass. The Coriolis effect deflects the flow to the trailing surface, resulting in enhancement of the heat/mass transfer on the trailing surface and reduction on the leading surface in the first pass. However, the opposite phenomena are observed in the second pass. The each rib arrangement makes different secondary flow patterns. The complex heat/mass transfer characteristics are observed by the combined effects of the rib arrangements, duct rotation and flow turning.

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The Effect of Tire Inflation Pressure on Soil Compaction and Tractive Performance of Tractor (타이어공기압에 따른 트랙터의 견인성능과 토양다짐)

  • 박원엽;이규승
    • Journal of Biosystems Engineering
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    • v.27 no.6
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    • pp.491-500
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    • 2002
  • This study was carried out to investigate experimentally the effect of the tire inflation pressure of a tractor on soil compaction and tractive performance. Two kinds of field experiments were conducted using an agricultural tractor. One experiment is concerned with the tractive performance of the tractor at the three levels of tire inflation pressure; 50kpa, 100kpa and 200kpa, and the other one is about the soil compaction at the four levels of tire inflation pressure; 50kpa, 100kpa, 150kpa and 200kpa, at three different numbers of passes; 1, 3 and 5 passes. From the results of the field experiment, it was found that decreasing the tire inflation pressure decreased the motion resistance of tractor and increased the tractive force and tractive efficiency. The tractive and working performance of the tractor could be improved by the reduction of tire inflation pressure. Increasing the inflation pressure and the number of passes increased the soil compaction. Rate of compaction increased rapidly at the first pass and declined at subsequent passes. To reduce the effect of soil compaction for the whole field, it is recommended that tractor should follow the rut of the first pass from the subsequent passes, and decrease the inflation pressure of the driving tires up to allowable minimum level.

Metabolite Kinetics of Trimebutine to N-monodesmethyl Trimebutine in Rats (트리메부틴의 N-모노데스메칠 트리메부틴으로의 대사동태)

  • Lee, Yong-Bok;Chang, Woo-Ik;Koh, Ik-Bae
    • Journal of Pharmaceutical Investigation
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    • v.28 no.2
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    • pp.73-80
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    • 1998
  • In order to elucidate the effect of N-demethylation on the in vivo metabolite kinetics, especially hepatic first-pass effect of trimebutine(TMB), the N-demethylation of TMB to N-monodesmethyl trimebutine(N-TMB) was studied in rats. TMB(10 mg/kg) and N-TMB(10 mg/kg) were injected into the femoral and the portal vein, respectively. And the pharmacokinetic parameters were obtained from the plasma concentration-time profiles of TMB and N-TMB determined by the simultaneous analysis using high-performance liquid chromatography. It was supposed that these drugs were almost metabolized in vivo because the urinary and biliary excreated amounts of TMB and N-TMB were lower than 0.1% of the administered dose. According to the hepatic biotransformation model and metabolic pathways of TMB proposed, it was found that the fraction of systemic clearance of TMB which formed N-TMB in liver$(G_{mi})$ was 0.826, that of TMB which furnishes the available N-TMB to the systemic circulation$(F_{mi})$ was 0.083, and the absolute hepatic bioavailability of N-TMB formed trom TMB$(F_{mi.p})$ was 0.1. These results showed that TMB was suspected of the sequential hepatic first-pass metabolism and N-demethylated by 82.6%. Therefore, the residue would be hydrolyzed by the esterase in the liver. That is, the ability of N-demethylation of TMB was 4.75-fold larger than that of hydrolysis by the esterase in rats.

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Dose-Independent Pharmacokinetics of a New Reversible Proton Pump Inhibitor, KR-60436, after Intravenous and Oral Administration to Rats: Gastrointestinal First-Pass Effect

  • Yu, Su-Yeon;Shin, Jee-Hyun;Bae, Soo-Kyung;Kim, Eun-Jung;Kim, Yoon-Gyoon;Kim, Sun-Ok;Lee, Dong-Ha;Lim, Hong;Lee, Myung-Gull
    • Proceedings of the PSK Conference
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    • 2003.04a
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    • pp.311.1-311.1
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    • 2003
  • Dose-independent pharmacokinetic parameters of KR-60436, a new proton pump inhibitor, were evaluated after an intravenous, iv (5, 10, and 20 mg/kg) and an oral (20, 50, and 100 mg/kg) administration to rats. The hepatic, gastric, and intestinal first-pass effects were also measured after iv, intraportal (ip), intragastric (ig), and intraduodenal (id) administration at a dose of 20 mg/kg to rats. (omitted)

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