• Title/Summary/Keyword: ICAS

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Cerebral Arterial Stenosis in Patients with Spontaneous Intracerebral Hemorrhage

  • Chung, Pil-Wook;Won, Yu Sam
    • Journal of Korean Neurosurgical Society
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    • v.60 no.5
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    • pp.511-517
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    • 2017
  • Objective : Spontaneous intracerebral hemorrhage (ICH) and ischemic stroke share common vascular risk factors such as aging and hypertension. Previous studies suggested that the rate of recurrent ICH and ischemic stroke might be similar after ICH. Presence of cerebral arterial stenosis is a potential risk factor for future ischemic stroke. This study investigated the prevalence and factors associated with cerebral arterial stenosis in Korean patients with spontaneous ICH. Methods : A total of 167 patients with spontaneous ICH were enrolled. Intracranial arterial stenosis (ICAS) and extracranial arterial stenosis (ECAS) were assessed by computed tomography angiography. Presence of ICAS was defined if patients had arterial stenosis in at least one intracranial artery. ECAS was assessed in the extracranial carotid artery. More than 50% luminal stenosis was defined as presence of stenosis. Prevalence and factors associated with presence of ICAS and cerebral arterial stenosis (presence of ICAS and/or ECAS) were investigated by multivariable logistic regression analysis. Results : Thirty-two (19.2%) patients had ICAS, 7.2% had ECAS, and 39 (23.4%) patients had any cerebral arterial stenosis. Frequency of ICAS and ECAS did not differ among ganglionic ICH, lobar ICH, and brainstem ICH. Age was higher in patients with ICAS ($67.6{\pm}11.8$ vs. $58.9{\pm}13.6years$ p=0.004) and cerebral arterial stenosis ($67.9{\pm}11.6$ vs. $59.3{\pm}13.5years$, p<0.001) compared to those without stenosis. Patients with ICAS were older, more frequently had diabetes, had a higher serum glucose level, and had a lower hemoglobin level than those without ICAS. Patients with cerebral arterial stenosis were older, had diabetes and lower hemoglobin level, which was consistent with findings in patients with ICAS. However, patients with cerebral arterial stenosis showed higher prevalence of hypertension and decreased kidney function compared to those without cerebral arterial stenosis. Multivariable logistic regression analyses showed that aging and presence of diabetes independently predicted the presence of ICAS, and aging, diabetes, and hypertension were independently associated with presence of cerebral arterial stenosis. Conclusion : 19.2% of patients with spontaneous ICH had ICAS, but the prevalence of ECAS was relatively lower (7.2%) compared with ICAS. Aging and diabetes were independent factors for the presence of ICAS, whereas aging, hypertension, and diabetes were factors for the cerebral arterial stenosis.

Current Opinion on Endovascular Therapy for Emergent Large Vessel Occlusion Due to Underlying Intracranial Atherosclerotic Stenosis

  • Dong-Hun Kang;Woong Yoon
    • Korean Journal of Radiology
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    • v.20 no.5
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    • pp.739-748
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    • 2019
  • For recanalization of emergent large vessel occlusions (ELVOs), endovascular therapy (EVT) using newer devices, such as a stent retriever and large-bore catheter, has shown better patient outcomes compared with intravenous recombinant tissue plasminogen activator only. Intracranial atherosclerotic stenosis (ICAS) is a major cause of acute ischemic stroke, the incidence of which is rising worldwide. Thus, it is not rare to encounter underlying ICAS during EVT procedures, particularly in Asian countries. ELVO due to underlying ICAS is often related to EVT procedure failure or complications, which can lead to poor functional recovery. However, information regarding EVT for this type of stroke is lacking because large clinical trials have been largely based on Western populations. In this review, we discuss the unique pathologic basis of ELVO with underlying ICAS, which may complicate EVT procedures. Moreover, we review EVT data for patients with ELVO due to underlying ICAS and suggest an optimal endovascular recanalization strategy based on the existing literature. Finally, we present future perspectives on this subject.

Integrity Prediction Model of Data-driven Diesel Generator for Naval Vessels (함정 디젤발전기 데이터기반 건전성 예측모델에 관한 연구)

  • Kim, Dongjin;Shim, Jaesoon;Kim, Mingon
    • Journal of the Korean Society of Propulsion Engineers
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    • v.23 no.4
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    • pp.98-103
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    • 2019
  • Integrity prediction of the operation equipment of naval vessels is essential to maintain the efficiency of the operation performance in urgent situations. Recently, the integrated condition assessment system(ICAS) was introduced and maintained to improve operational performance. This technology is related with ICAS, and it must be localized through extensive research. In this paper, we present the results of applying the data-driven model to the predictability methods of diesel generators, which are naval vessel operation equipment.

Electrical Characteristics of Isotropic Conductive Adhesives (ICAs) for the Fabrication of RFID Inlays (RFID Inlay 제작용 등방성 도전 접착제의 전기적 특성 평가)

  • Lee, Jun-Sik;Kim, Jun-Ki;Kim, Mok-Soon;Lee, Jong-Hyun
    • Korean Journal of Metals and Materials
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    • v.47 no.7
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    • pp.447-453
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    • 2009
  • Isotropic conductive adhesives (ICAs) have been used or considered as an interconnect material for radio frequency identification (RFID) inlays or other flip chip assemblies due to the advantages of having a low temperature and high-speed bonding. In this work, the curing properties of commercial ICAs for the RFID tag application and the signal transmission in conductive lines that contained the ICA joints were evaluated as a function of the degree of cure at 900 MHz frequency range. The ICAs showed adequate signal transmission only after the curing process passed over the critical time. It was also found that the insertion loss of signal was more dependent on the contact states of Ag fillers in the bondline in preference to the electrical resistance of the ICA itself.

Independent Component Analysis for Clustering Analysis Components by Using Kurtosis (첨도에 의한 분석성분의 군집성을 고려한 독립성분분석)

  • Cho, Yong-Hyun
    • The KIPS Transactions:PartB
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    • v.11B no.4
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    • pp.429-436
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    • 2004
  • This paper proposes an independent component analyses(ICAs) of the fixed-point (FP) algorithm based on Newton and secant method by adding the kurtosis, respectively. The kurtosis is applied to cluster the analyzed components, and the FP algorithm is applied to get the fast analysis and superior performance irrelevant to learning parameters. The proposed ICAs have been applied to the problems for separating the 6-mixed signals of 500 samples and 10-mixed images of $512\times512$ pixels, respectively. The experimental results show that the proposed ICAs have always a fixed analysis sequence. The results can be solved the limit of conventional ICA without a kurtosis which has a variable sequence depending on the running of algorithm. Especially. the proposed ICA can be used for classifying and identifying the signals or the images. The results also show that the secant method has better the separation speed and performance than Newton method. And, the secant method gives relatively larger improvement degree as the problem size increases.

Intracranial stenting compared to medical treatment alone for intracranial atherosclerosis patients: An updated meta-analysis

  • Adam A. Dmytriw;Jerry Ku;Ahmed Y. Azzam;Osman Elamin;Nicole Cancelliere;Anish Kapadia;James D. Rabinov;Christopher J. Stapleton;Robert W. Regenhardt;Vitor Mendes Pereira;Aman B. Patel;Victor X.D. Yang
    • Journal of Cerebrovascular and Endovascular Neurosurgery
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    • v.26 no.2
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    • pp.152-162
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    • 2024
  • Objective: Stroke is the second-leading cause of death globally. Intracranial atherosclerotic stenosis (ICAS) represents 10-15% of ischemic strokes in Western countries and up to 47% in Asian countries. Patients with ICAS have an especially high risk of stroke recurrence. The aim of this meta-analysis is to reassess recurrent stroke, transient ischemic attack (TIA), and other outcomes with stenting versus best medical management for symptomatic ICAS. Methods: The search protocol was developed a priori according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The OVID Medline, Embase, Web of Science, and Cochrane Library databases were searched from inception to August 14th, 2022. Results: This meta-analysis included four randomized controlled trials (RCTs), with a total number of 991 patients. The mean age of participants was 57 years. The total number of intracranial stenting patients was 495, and the number of medical treatment patients was 496. The included studies were published between 2011 and 2022. Two studies were conducted in the USA, and the other two in China. All included studies compared intracranial stenting to medical treatment for ICAS. Conclusions: In patients with ischemic stroke due to symptomatic severe intracranial atherosclerosis, the rate of 30-day ischemic stroke, 30-day intracerebral hemorrhage, one-year stroke in territory or mortality favored the medical treatment alone without intracranial stenting. The risk of same-territory stroke at last follow-up, disabling stroke at last follow-up, and mortality did not significantly favor either group. Intracranial stenting for atherosclerosis did not result in significant benefit over medical treatment.

Glue Embolization of Ruptured Anterior Thalamoperforating Artery Aneurysm in Patient with Both Internal Carotid Arteries Occlusion

  • Lee, Jae-Il;Choi, Chang-Hwa;Ko, Jun-Kyeung;Lee, Tae-Hong
    • Journal of Korean Neurosurgical Society
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    • v.49 no.5
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    • pp.287-289
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    • 2011
  • Thalamoperforating artery aneurysms are rarely reported in the literature. We report an extremely rare case of ruptured distal anterior thalamoperforating artery aneurysm which was treated by endovascular obliteration in a patient with occlusion of both the internal carotid arteries (ICAs) : A 72-year-old woman presented with severe headache and loss of consciousness. Initial level of consciousness at the time of admission was drowsy and the Glasgow Coma Scale score was 14. Brain computed tomography (CT) scan was performed which revealed intracerebral hemorrhage in right basal ganglia, subarachnoid hemorrhage, and intraventricular hemorrhage. The location of the aneurysm was identified as within the globus pallidus on CT angiogram. Conventional cerebral angiogram demonstrated occlusion of both the ICAs just distal to the fetal type of posterior communicating artery and the aneurysm was arising from right anterior thalamoperforating artery (ATPA). A microcatheter was navigated into ATPA and the ATPA proximal to aneurysm was embolized with 20% glue. Post-procedural ICA angiogram demonstrated no contrast filling of the aneurysm sac. The patient was discharged without any neurologic deficit. Endovascular treatment of ATPA aneurysm is probably a more feasible and safe treatment modality than surgical clipping because of the deep seated location of aneurysm and the possibility of brain retraction injury during surgical operation.

Cost-Aware Scheduling of Computation-Intensive Tasks on Multi-Core Server

  • Ding, Youwei;Liu, Liang;Hu, Kongfa;Dai, Caiyan
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.12 no.11
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    • pp.5465-5480
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    • 2018
  • Energy-efficient task scheduling on multi-core server is a fundamental issue in green cloud computing. Multi-core processors are widely used in mobile devices, personal computers, and servers. Existing energy efficient task scheduling methods chiefly focus on reducing the energy consumption of the processor itself, and assume that the cores of the processor are controlled independently. However, the cores of some processors in the market are divided into several voltage islands, in each of which the cores must operate on the same status, and the cost of the server includes not only energy cost of the processor but also the energy of other components of the server and the cost of user waiting time. In this paper, we propose a cost-aware scheduling algorithm ICAS for computation intensive tasks on multi-core server. Tasks are first allocated to cores, and optimal frequency of each core is computed, and the frequency of each voltage island is finally determined. The experiments' results show the cost of ICAS is much lower than the existing method.

Congenital Absence of the Bilateral Internal Carotid Arteries: a Case Report

  • Noh, Jihoon;Kang, Hyunkoo
    • Investigative Magnetic Resonance Imaging
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    • v.25 no.3
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    • pp.193-196
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    • 2021
  • Congenital absence of the bilateral internal carotid arteries (ICA) is a very rare occurrence. Recognition of this rare anomaly is important, when considering intracranial endovascular interventions in the event of thromboembolic events with revascularization, transsphenoidal surgery, and the surveillance and detection of associated cerebral aneurysms. We report a case of a 25-year-old man who presented with headache since 2 years ago, and was incidentally discovered to have a congenital bilateral absence of ICAs.

An Overview for the Court of Arbitration for Sport (CAS) as the Authority to Settle the Sports-related Disputes (스포츠분쟁해결기구로서의 스포츠중재재판소(CAS)에 관한 고찰)

  • Sohn, Chang-Joo
    • Journal of Arbitration Studies
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    • v.28 no.1
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    • pp.43-75
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    • 2018
  • The Court of Arbitration for Sport (CAS) was created to focus on the procedural complexity in the resolution of sports-related disputes, confidentiality, the matter of expenses, and the necessity of prompt settlement in the field of international sports. The CAS had originally launched as one of bodies of International Olympic Committee (IOC), but later it became properly operational as an independent organization to facilitate sports-related disputes when the International Council of Arbitration for Sport (ICAS), which came into force in accordance with the Paris Agreement in 1984 and has acted in place of IOC, took responsibility for the administration and financing of the CAS. The CAS is composed of four divisions, the Ordinary Arbitration Division and the Appeals Arbitration Division, the Ad hoc Division created later in 1996 and the CAS Anti-Doping Division (CAS ADD) established as from 2016 only to conduct proceedings and to issue decisions on an alleged anti-doping rule violation, and two (Sydney and New York) permanent decentralized offices. The head office of the CAS is Lausanne, Switzerland. Since CAS ADD was established, CAS Ad hoc Division has had jurisdiction over the appeal case against a decision pronounced by the IOC, an NOC, an international Federation or an Organizing Committee for the Olympic Games. Although there are so many virtues of CAS as a resolution authority for sports-related disputes in terms of its organization, arbitration rules and procedures, it is also true that the CAS has not been showing the consistency. The CAS should overcome these issues through much more advanced system and its instant and fair decisions.