• 제목/요약/키워드: Pci2

검색결과 219건 처리시간 0.027초

관상동맥중재술을 받은 환자를 위한 스마트 프로그램이 질병관련 지식, 건강행위와 삶의 질에 미치는 효과: 비무작위 대조군설계 (The Effects of Smart Program for Patients Who Underwent Percutaneous Coronary Intervention (SP-PCI) on Disease-Related Knowledge, Health Behavior, and Quality of Life: A Non-Randomized Controlled Trial)

  • 이주은;이해정
    • 대한간호학회지
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    • 제47권6호
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    • pp.756-769
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    • 2017
  • Purpose: To identify the effects of a smart program for the patients who underwent percutaneous coronary intervention (SP-PCI) on coronary disease-related knowledge, health behaviors, and quality of life. Methods: A nonequivalent control group with a non-synchronized design was utilized and 48 participants (experimental=22, control=26) were recruited from a university hospital in Gyeongsang area from May to December, 2016. The 12-week SP-PCI consisted of self-study of health information using smart phone applications (1/week), walking exercise (>5/week) using smart band, feedback using Kakao talk (2/week), and telephone counseling (1/week). Patients in the control group received usual care from their primary health care providers and a brief health education with basic self-management brochure after the PCI. Data were analyzed using the SPSS 21.0 program through descriptive statistics, $x^2$ test, and t-test. Results: After the 12-week SP-PCI, the experimental group showed higher levels of coronary disease-related knowledge (t=2.43, p=.019), heart-related health behaviors (t=5.96, p<.001), regular exercise (Z=-4.47, p<.001), and quality of life-MCS (t=3.04, p=.004) and showed lower levels of stress (Z=-3.53, p<.001) and sodium intake (t=-4.43, p<.001) than those in the control group. There were no significant group differences in medication adherence and food intake in total energy, lipids, and cholesterol. Conclusion: The suggested SP-PCI provided easy access and cost-effective intervention for patients after PCI and improved their knowledge of the disease, performance of health behaviors, and quality of life. Further study with a wider population is needed to evaluate the effects of SP-PCI on disease recurrence and quality of life for patients after PCI.

Feasibility of Coronary Angiography and Percutaneous Coronary Intervention via Left Snuffbox Approach

  • Kim, Yongcheol;Ahn, Youngkeun;Kim, Inna;Lee, Doo Hwan;Kim, Min Chul;Sim, Doo Sun;Hong, Young Joon;Kim, Ju Han;Jeong, Myung Ho
    • Korean Circulation Journal
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    • 제48권12호
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    • pp.1120-1130
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    • 2018
  • Background and Objectives: Feasibility of coronary angiography (CAG) and percutaneous coronary intervention (PCI) via left snuffbox approach is still concerned. We aimed to investigate efficacy and safety of the left snuffbox approach for CAG and PCI. Methods: Left snuffbox approach was tried in 150 patients who planned to perform CAG or PCI for suspected myocardial ischemia between 1 November 2017 and 31 March 2018. Results: Success rate of radial artery (RA) cannulation via snuffbox approach was 88.0% (n=132). Among 132 individuals, 58 (43.9%) acute coronary syndrome (ACS) patients were included. The diameter of snuffbox RA was significantly smaller than conventional RA (2.57 mm vs. 2.72 mm, p<0.001) from quantitative computed angiography of 101 patients. However, CAG via snuffbox approach by 6 French sheath was successfully performed in all 132 patients. In addition, there was significant correlation between the snuffbox and conventional RA diameter (r=0.856, p<0.001). In 42 PCI cases, including 25 patients with acute myocardial infarction (AMI), the success rate of PCI via snuffbox approach was 97.6% (n=41). Intravascular imaging-guided PCI was performed in 8 (19.5%) patients and multi-vessel PCI in 4 (9.8%) cases. Regarding vascular complication, forearm swelling with bruising, not requiring surgery or transfusion, occurred in 2 (4.9%) PCI cases. Conclusions: Left snuffbox approach is suitable for CAG and PCI compared with the conventional radial approach.

20대 정상성인의 발목에 부가된 하중이 보행중 에너지 소모도에 미치는 영향 (The Influences for Change of energy consumption of normal 20s' adults during gait)

  • 김용건;한동욱
    • 대한물리치료과학회지
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    • 제7권1호
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    • pp.285-294
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    • 2000
  • 80 persons who don't have past history of cardiopulmonary and neuromuscular disease. The results were as follow; 1. PCI(Physiological Cost Index) value without loading to ankle were significantly increased compared to 1kg, and 2kg (p<0.01). 2. Female Subjects showed more increased PCI value in without loading and lkg, 2kg loading compared to male subjects (p<0.01). 3. In every PCI condition the difference among height groups was observed (p<0.01). 4. The difference among weight groups in each PCI condition was observed (p<0.01). These results showed that energy consumption was increased according to loading on the ankle during gait so weight of orthosis or prosthesis must be considered when choosing them and during gait training with these ones.

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프리캐스트 게르버 U형보의 댑 전단 거동평가 (Evaluation on Shear Performance of the Dapped Ends of Precast Gerber′s U-Beams)

  • 박현석;유승룡
    • 콘크리트학회논문집
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    • 제14권4호
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    • pp.492-502
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    • 2002
  • 게르버보의 댑단부는 PCI와 CPCI 배근방법에 의하여 설계하였고, 남은 두 단부는 본 연구에서 고려한 배근방법으로 배근하였다. 본 실험에서 고려한 댑단부의 깊이는 프리캐스트 콘크리트의 깊이 77 cm와 토핑콘크리트의 깊이 18.2 cm를 합한 전체 보깊이의 1/2에 해당한다. 실물크기 게르버 U형보 2개에 대하여 4회의 전단실험을 수행하였다. PCI와 CPCI 설계방법에 의한 모든 시험체는 사용하중의 32 % 이전에 댑 모서리 요각부위에서 초기균열이 발생하였으며, 예상 공칭강도에는 못 미치나 설계강도를 상회하여 종국 파괴되었다. 걸이 철근량을 PCI 요구량보다 증가시킬수록 초기균열 제어에 효과적이었으며, 폭 넓은 균열을 발생시키며 연성적으로 파괴되었고 강도도 증가하였다. CPCI 설계방법에 의한 시험체는 PCI시험체에 비하여 보다 연성적으로 파괴되었다.

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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    • 제18권2호
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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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방사선 조사에 의한 세포사에 있어서 세포고사의 의미 (Significance of Apoptotic Cell Death after $\gamma-Irradiation$)

  • 우홍균;김일한
    • Radiation Oncology Journal
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    • 제19권3호
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    • pp.252-258
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    • 2001
  • 목적 : 사람의 두경부종양 세포주를 대상으로 방사선 조사 후에 일어나는 아포토시스를 측정하여 전체 세포사에서의 중요성 및 방사선감수성과의 관련성을 알아보고자 하였다. 대상 및 방법 : 방사선치료가 주 치료방법인 두경부종양 세포주(PCI-1, PCI-13, SNU-1066)와 정상세포 중 섬유모세포 세포주(LM217), 혈액종양 세포주 중 백혈병 세포주(CCRF-CEM)를 대상으로 하였다. 방사선 조사는 동물실험용 Cs-137 방사선조사기를 사용하였다. 전체 세포사는 집락형성능측정을 이용하였고, 아포토시스의 측정은 annexin-V와 propidium iodide를 이용하는 염색법을 사용하였다. 결과 : 2 Gy 방사선 조사 시의 생존분획인 $SF_2$는 PCI-1, PCI-13, SNU-1066, CCRF-CEM, LM217 세포주에서 각각 0.741, 0.544, 0.313, 0.302, 0.100으로, LM217 세포주가 방사선감수성이 가장 높았고 PCI-1 세포주의 방사선감수성이 가장 낮았다. 두경부암 세포주인 PCI-1, PCI-13, SNU-1066에서는 모두 72시간이 경과한 후 아포토시스지수가 최대치에 도달하였으며, LM217과 CCRF-CEM에서는 24시간 후에 최대치에 도달하였다. 방사선량의 증가에 따라서 전체세포사는 현저하게 증가하였으나 아포토시스지수의 변화는 매우 작았다. 전체 세포사에 대한 아포토시스의 분획(아포토시스분획)은 2 Gy 조사 시 PCI-1, PCI-13, SNU-1066, CCRF-CEM, LM217에서 각각 $46\%,\;48\%,\;46\%,\;24\%,\;19\%$이었고, 6 Gy 조사 시 각각 $20\%,\;33\%,\;35\%,\;17\%,\;20\%$이었다. 아포토시스의 정도와 6 Gy 조사 시의 방사선 감수성과는 일정한 관계를 보이지 않았으나, 2 Gy조사 시 방사선에 감수성이 비교적 높은 세포주가 아포토시스분획이 작았다. 결론 : 본 연구에서 사용한 두경부암세포주에서 방사선 조사 후 아포토시스가 관찰되었으며, 발생 양상이 시간적으로 정상 섬유모세포 및 백혈병세포주와 다른 것을 확인하였다. 또한 아포토시스보다는 다른 종류의 세포사인 증식사가 더 중요하게 작용하고 있음을 알 수 있었다. 아포토시스분획과 2 Gy 조사 시 방사선감수성 사이에 관련 가능성이 제시되었다.

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Comparison of Coronary Artery Bypass Graft-First and Percutaneous Coronary Intervention-First Approaches for 2-Stage Hybrid Coronary Revascularization

  • Choi, Hang Jun;Kang, Joonkyu;Song, Hyun;Kim, Do Yeon;Choi, Kuk Bin
    • Journal of Chest Surgery
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    • 제50권4호
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    • pp.247-254
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    • 2017
  • Background: Hybrid coronary revascularization (HCR) was developed to combine the advantages of coronary artery bypass graft (CABG) with percutaneous coronary intervention (PCI). However, it is still controversial whether it is more optimal to perform CABG or PCI first. The purpose of this study was to compare the clinical outcomes of these 2 approaches. Methods: Eighty patients who underwent HCR from May 2010 to December 2015 were enrolled in this retrospective analysis. The CABG-first group comprised 12 patients and the PCI-first group comprised 68 patients. Outcomes of interest included in-hospital perioperative factors, major adverse cardiac and cerebrovascular events (MACCEs), and the incidence of repeated revascularization, especially for the target vessel lesion. Results: No significant difference was found in the amount of postoperative bleeding (p=0.239). The incidence of MACCEs was similar between the CABG-first and PCI-first groups (1 of 12 [8.3%] vs. 5 of 68 [7.4%], p>0.999). Repeated revascularization was performed on 3 patients (25%) in the CABG-first and 9 patients (13.2%) in the PCI-first group (p=0.376). Conclusion: There were no significant differences in postoperative and medium-term outcomes between the CABG-first and PCI-first groups. Based on these results, it can be inferred that it is safe to opt for either CABG or PCI as the primary procedure in 2-stage HCR.

차세대 저궤도 위성의 PCI 기반의 1553B 통신 소프트웨어 설계 (Design and Development of PCI-based 1553B Communication Software for Next Generation LEO On-Board Computer)

  • 최종욱;정재엽;유범수
    • 한국위성정보통신학회논문지
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    • 제11권3호
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    • pp.65-71
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    • 2016
  • 현재 한국항공우주연구원에서 개발 중인 차세대 저궤도 위성의 탑재컴퓨터는 높은 성능을 위해 LEON2-FT/AT697F 프로세서를 사용하며 SpaceWire, 1553B, DMAUART, CAN Master 등의 다양한 통신을 지원하기 위해 별도의 FPGA 기반의 통신칩이 개발되었다. 프로세서와 통신칩간의 통신은 PCI 버스를 통해서 이루어지며, 탑재소프트웨어에서 직접 PCI 버스를 통해 각종 디바이스를 제어 및 통신을 수행한다. 차세대 탑재컴퓨터에서는 기존 1553B 통신을 위해 사용되었던 VASI IP1553B 컨트롤러 대신 Actel 1553BRM 코어를 사용하며 통신칩의 AMBA 버스상에 연결을 위해 Aeroflex Gaisler에서 개발 된 B1553BRM Wrapper를 사용한다. 본 논문에서는 차세대 저궤도 위성에서의 PCI기반의 1553B 통신 소프트웨어의 구조와 통신방법에 대해서 기술하고 탑재소프트웨어 레벨의 태스크를 통한 1553B 처리방식에 대해서 설명한다. 그리고 시뮬레이터 및 실제 하드웨어에서 테스트 된 결과에 대해 설명한다.

관상동맥중재술 전후 주요 항협심증 약제로서의 베타차단제와 칼슘채널차단제: 처방패턴 및 임상결과에 미치는 영향 (Beta Blockers or Calcium Channel Blockers as Primary Antianginal Drug after Percutaneous Coronary Intervention: Prescription Pattern and its association with Clinical Outcome)

  • 노선영;조윤희;조윤숙;한현주;이해영;이주연
    • 한국임상약학회지
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    • 제26권3호
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    • pp.213-219
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    • 2016
  • Objective: Although guideline recommends beta blockers (BBs) as first line antianginal agent and calcium channel blockers (CCBs) as alternatives after percutaneous coronary intervention (PCI), the prescription patterns in real practice are not in accordance with the guideline. We aimed to investigate the prescribing patterns of primary antianginal drug and relating factors in patients who underwent PCI. Methods: Patients who have undergone PCI without myocardial infarction (MI) from November 2012 to June 2014 and followed up at least one year in a tertiary teaching hospital were included. Prescribing patterns of primary antianginal drug before, at the time of, and one year after PCI were described. Factors affecting drug selection, and their relationship with incidence of clinical outcomes defined as MI and repeated PCI, unscheduled admission or visit related with heart problem were analyzed with multivariate logistic regression. Results: A total of 506 patients were included and as primary antianginal drugs, BB, CCB, and both were prescribed in 32.2%, 24.5%, and 17.8% of patients, respectively. Also, neither BB nor CCB was prescribed at the time of PCI in 25.5% of patients. Compared with BB, CCBs were more likely prescribed in patients who had hypertension (Odds Ratio, OR 2.18, 95% confidence interval, CI 1.16-4.07), use of same class before PCI (OR 7.18, 3.37-15.2) and concomitant angiotensin receptor blocker (ARB) use (OR, 1.92, 95% CI 1.10-3.33). Incidence of clinical outcomes were not significantly greater in patients who prescribed CCB compared with BB at the time of PCI (aOR 1.32, CI 0.65-2.68). Conclusion: This study demonstrated that half of the patients who underwent PCI were prescribed BB. CCB were favored in patients with hypertension, use of same class before PCI, and concomitant ARB use. Significant difference in clinical outcome was not observed between BB and CCB selection as primary antianginal drug.

인체 상피암 세포주에서 방사선감수성과 손상회복의 상관관계에 관한 연구 (Relationship between Radiosensitivity and Repair Capacity in Human Epithelial Cancer Cell Lines)

  • 고경환;하성환;박찬일
    • Radiation Oncology Journal
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    • 제11권1호
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    • pp.17-27
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    • 1993
  • To investigate the relationship between radiosensitivity and postirradiation recovery in human cancer cells, a study was performed using human cancer cell lines-A549, CaSki, SNU-C5 and PCI-13. For the study of radiosensitivity, single doses of 2, 4, 6, 8, 10, 12, and 14 Gy were given and for postirradiation recovery, two fractions of 4 Gy were separated with a time interval of 0, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, or 6 hours. Surviving fraction was estimated using colony forming ability. Surviving fractions at 2 Gy (SF2) were 0.496 (0.570-0.412) for A549, 0.496 (0.660-0.332) for CaSki, 0.386 (0.576-0.216) for SNU-C5, and 0.185 (0.247-0.123) for PCI-13. By statistical analysis the SF2 of PCI-13 was lower significantly than those of others (p<0.05). This difference was also observed at 4, 6 and 8 Gy dose levels. At 6 and 8 Gy the surviving fractions of SNU-C5 were also lower significantly than A549 and CaSki (p<0.05). By the analysis with linear quadratic model, the values of ${\alpha}$ for A549, CaSki, SNU-C5 and PCI-13 were 0.3016, 0.3212, 0.4327 and 0.8423, respectively, and those of ${\beta}$ were 0.02429, 0.02009, 0.03349 and 0.00059, respectively. So, the value of ${\alpha}$ showed increasing tendency with decreasing SF2. By the multitarget single hit model the values of Do for A549, CaSki, SUN-C5 and PCI-13 were 1.97, 1.97, 1.46 and 0.81, respectively, and those of n were 1.53, 1.50, 1.56 and 2.28, respectively. So, the value of Do decreased with decreasing SF2. Post-irradiation recovery reached plateau at around 2 hours. Recovery ratio at plateau phase ranged from 1.2 to 4.2; the value were 1.2 for PCI-13, 3.2 for CaSki, 3.3 for SNU-C5, and 4.2 for A549. Recovery rate well correlated with SF2, and increased with increasing Do and decreasing ${\alpha}$. According to above results, the intrinsic radiosensitivity was quite different among the tested cell lines; PCI-13 was the most sensitive and A549 and CaSki was similar. This difference of radiosensitivity is thought to be partly due to the difference in amount of postirradiation recovery. By linear quadratic model the difference of ${\alpha}$ values was very high, and by multitarget single hit model the difference of Do value was significantly high among four cell lines.

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