• 제목/요약/키워드: Triple effect

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관상동맥 약물 용출 스텐트 삽입 후 항혈소판제제 3제요법과 2제요법의 임상적 효과 비교 (Effect of Triple Compared to Dual Antiplatelet Therapy After Drug-Eluting Stent Implantation in Percutaneous Coronary Intervention)

  • 예경남;김정태;이숙향
    • 한국임상약학회지
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    • 제22권2호
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    • pp.113-122
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    • 2012
  • ACC/AHA/SCAI Guideline recommends for administration dual antiplatelet therapy after drug-eluting stent (DES) to prevent restenosis and stent thrombosis in patients with percutaneous coronary intervention (PCI). Recently triple antiplatelet therapy including cilostazol is known to reduce restenosis and stent thrombosis significantly after DES implantation. However, there is lack of data providing the efficacy of triple antiplatelet therapy. The purpose of this study is to evaluate the clinical effects of the triple therapy after DES implantation compared with the dual therapy. This retrospective study collected data from medical charts of 251 patients who received DES implantation between Jul 2006 and Jun 2008. They received either dual antiplatelet therapy (N = 154 clopidogrel and aspirin; Dual group) or triple antiplatelet therapy (N = 97 cliostazol, clopidogrel and aspirin; Triple group). Major adverse cardiac event rates (MACE, included total death, myocardial infarction, target lesion revascularization) at 12 months, 24 months, stent thrombosis, rates of bleeding complications and adverse drug reactions were compared between these two groups. Compared with the dual group, the triple group had a similar incidence of the MACE rates at 24months (12.3% vs. 12.4%, p = 0.99). There is no difference in overall stent thrombosis between two groups (Dual group 2.6% vs. Triple group 4.1%, p = 0.5). Subgroup analysis showed that diabetic patients got more benefit in reducing MACE rates but, there is no statistical difference. Bleeding complications and adverse drug effects were not different significantly. As compared with dual antiplatelet therapy, triple antiplatelet therapy did not reduce the 12-months, 24-months MACE rates and stent thrombosis. Bleeding complications and adverse drug effects were not different.

Differential Response of Etiolated Pea Seedlings to Inoculation with Rhizobacteria Capable of Utilizing 1-Aminocydopropane-1-Carboxylate or L-Methionine

  • Shaharoona, Baby;Arshad, Muhammad;Khalid, Azeem
    • Journal of Microbiology
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    • 제45권1호
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    • pp.15-20
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    • 2007
  • The majority of soil microorganisms can derive ethylene from L-methionine (L-MET), while some rhizobacteria can hydrolyze 1-aminocyclopropane-1-carboxylate (ACC) due to their ACC-deaminase activity. In this study, three strains having either ACC-deaminase activity (Pseudomonas putida biotype A, $A_7$), or the ability to produce ethylene from L-MET (Acinetobacter calcoaceticus, $M_9$) or both (Pseudomonas fluorescens, $AM_3$) were used for inoculation. The highly ethylene specific bioassay of a classical 'triple' response in pea seedlings was used to investigate the effect of the inoculation with the rhizobacteria in the presence of 10 mM ACC or L-MET. The exogenous application of ACC had a concentration-dependent effect on the etiolated pea seedlings in creating the classical 'triple' response. The inoculation with P. putida diluted the effect of ACC, which was most likely due to its ACC-deaminase activity. Similarly, the application of $Co^{2+}$ reduced the ACC-imposed effect on etiolated pea seedlings. In contrast, the inoculation of A. calcoaceticus or P. fluorescens in the presence of L-MET caused a stronger classical 'triple' response in etiolated pea seedlings; most likely by producing ethylene from L-MET. This is the first study, to our knowledge, reporting on the comparative effect of rhizobacteria capable of utilizing ACC vs L-MET on etiolated pea seedlings.

Strained Silicon-on-Insulator (sSOI) 기판으로 제작된 Triple-gate MOSFETs의 단채널 효과와 이동도 특성 (Characteristics of Short channel effect and Mobility in Triple-gate MOSFETs using strained Silicon-on-Insulator (sSOI) substrate)

  • 김재민;;이용현;배영호
    • 한국전기전자재료학회:학술대회논문집
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    • 한국전기전자재료학회 2009년도 하계학술대회 논문집
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    • pp.92-92
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    • 2009
  • 본 논문에서는 strained Silicon-on-Insulator (sSOI) 기판에 제작된 triple-gate MOSFETs 의 이동도와 단채널 효과에 대하여 분석 하였다. Strained 실리콘에 제작된 소자는 전류의 방향이 <110> 밤항일 경우 전자의 이동도는 증가하나 정공의 이동도는 오히려 감소하는 문제점이 있다. 이를 극복하기 위하여 소자에서 전류의 방향이 <110>방향에서 45 도 회전된 <100> 방향으로 흐르게 제작하였다. Strain이 가해지지 않은 기판에 제작된 동일한 구조의 소자와 비교하여 sSOI 에 제작된 소자에서 전자의 이동도는 약 40% 정공의 이동도는 약 50% 증가하였다. 채널 길이가 100 nm 내외로 감소함에 따라 나타나는 drain induced barrier lowering (DIBL) 현상, subthreshold slope (SS)의 증가 현상에서 sSOI에 제작된 소자가 상대적으로 우수한 특성을 보였으며 off-current leakage ($I_{off}$) 특성도 sSOI기판이 더 우수한 특성을 보였다.

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삼중 버퍼링 방법을 이용한 실시간 소나 신호 디스플레이를 위한 FPGA 임베디드 시스템의 구현 (An Implementation of FPGA Embedded System for Real-Time SONAR Signal Display Using the Triple Buffering Method)

  • 김동진;박영석
    • 대한임베디드공학회논문지
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    • 제9권3호
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    • pp.173-182
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    • 2014
  • The CRT monitor display system for SONAR signal that are commonly used in ships or naval vessels uses vector scanning method. Therefore the processing circuits of the system are complex. Also the purchase of parts is difficult as well as high-cost because the production had been shut down. FPGA-based embedded system is flexible to various digital applications because it can be able to simplify processing circuits and to make a easy customized design for end user, and it provides low-cost high-speed performance. In this paper, we describe an implementation of FPGA embedded system for real-time SONAR signal display using the triple buffering method to overcome some weakness of existing CRT system. Our system provides real-time acquisition and display capability of SONAR signal, and removes afterimage effect that is a critical problem of the system proposed in the preceding study.

The expression of Rab5 and its effect on invasion, migration and exosome secretion in triple negative breast cancer

  • Lei Qiao;Chao Dong;Jiaojiao Zhang;Gang Sun
    • The Korean Journal of Physiology and Pharmacology
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    • 제27권2호
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    • pp.157-165
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    • 2023
  • Triple-negative breast cancer (TNBC) is the most aggressive subtype of breast cancer and current therapeutic strategies are limited in their effectiveness. The expressions of Rab5 and the M2 tumor-associated macrophage marker CD163 in tissues were detected by Western blot. The migration and invasion of cells were determined using a Transwell assay. The expressions of the exosome markers were evaluated by Western blot. The polarization of human macrophages (THP-1) was determined by incubation of THP-1 cells with conditioned medium or exosomes collected from MDA-MB-231 cells with indicated transfections or by a coculture system of THP-1 and MDA-MB-231 cells. The M1 and M2 macrophage markers were evaluated by qRT-PCR. The expression of Rab5 in TNBC was significantly higher than that in normal breast tissue. Rab5 expressions in triple-negative and luminal A breast cancer were higher than those in other molecular subtypes. Higher CD163 expression was observed in triple-negative breast cancer and in triple-negative and luminal B subtypes. Rab5 knockdown suppressed but Rab5 overexpression promoted the migration and invasion capacity of MDA-MB-231 cells. The levels of CD63 and CD9 in the medium of Rab5 knockdown cells were lower than those in control cells, whereas higher levels of CD63 and CD9 were observed in Rab5 overexpression cells. Rab5 knockdown decreased the excretion but did not alter the diameter of the exosomes. Knockdown of Rab5 facilitated the anti-tumor polarization of macrophages, which was partially reversed by Rab5 overexpression. Therefore, Rab5 is expected to be a potential therapeutic target for triple-negative breast cancer.

An Analysis of X-Factor, Triple X-Factor, and the Center of Pressure (COP) according to the Feel of the Golf Driver Swing

  • Kim, Yong-Seok;So, Jae-Moo
    • 한국운동역학회지
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    • 제26권3호
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    • pp.265-272
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    • 2016
  • Objective: The aim of this study was to analyze X-factor, triple X-factor, and the center of pressure (COP) according to the feel of golf driver swing. Method: For this research, 9 golfers from the Korea Professional Golfers' Association (age: $30.11{\pm}2.98yrs$, height: $178.00{\pm}8.42cm$, weight: $76.22{\pm}8.42kg$, experience: $10.06{\pm}3.11yrs$) were recruited to participate in the experiment. Twelve Motion Analysis Eagle-4 cameras were installed and an image analysis was conducted by using the NLT (non-linear transformation) method, and 2 units of Kistler type 5233A dynamometer were used to measure ground reaction force. The sampling ratio was set at 1000 Hz. The golfers each took 10 swings by using their own driver, and chose the best and worse feel from among 10 shots. A paired-sample t-test was used to analyze the results. Results: In regard to feel, no change in head speed, X-factor, and the triple X-factor's X-factor stretch, hip rise, and head swivel, was observed (p>.05). Regarding ground reaction force, a difference was observed between the top of the backswing (p<.05) and impact (p<.05) in the vertical force of the left foot. For COP, a difference was also observed between the mid backswing (p<.001), late backswing (p<.001), and top of the backswing (p<.05) for the right foot X-axis and Y-axis mid follow through (p<.01). Conclusion: It can be reasoned that, irrespective of feel, the head speed, X-factor and triple X-factor's X-factor stretch, hip rise and head swivel did not have an effect on drive distance for domestic golfers, and the vertical reaction force of the left foot and left-right movement span's pressure dispersal of the right foot had an increasing effect on drive distance.

Stochastic responses of isolated bridge with triple concave friction pendulum bearing under spatially varying ground motion

  • Yurdakul, Muhammet;Ates, Sevket
    • Structural Engineering and Mechanics
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    • 제65권6호
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    • pp.771-784
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    • 2018
  • This study aims to investigate the stochastic response of isolated and non-isolated highway bridges subjected to spatially varying earthquake ground motion model. This model includes wave passage, incoherence and site response effects. The wave passage effect is examined by using various wave velocities. The incoherency effect is investigated by considering the Harichandran and Vanmarcke coherency model. The site response effect is considered by selecting homogeneous firm, medium and soft soil types where the bridge supports are constructed. The ground motion is described by power spectral density function and applied to each support point. Triple concave friction pendulum (TCFP) bearing which is more effective than other seismic isolation systems is used for seismic isolation. To implement seismic isolation procedure, TCFP bearing devices are placed at each of the support points of the deck. In the analysis, the bridge selected is a five-span featuring cast-in-place concrete box girder superstructure supported on reinforced concrete columns. Foundation supported highway bridge is regarded as three regions and compared its different situation in the stochastic analysis. The stochastic analyses results show that spatially varying ground motion has important effects on the stochastic response of the isolated and non-isolated bridges as long span structures.

Effect of seismic pounding on buildings isolated by triple friction pendulum bearing

  • Amiri, Gholamreza Ghodrati;Shakouri, Ayoub;Veismoradi, Sajad;Namiranian, Pejman
    • Earthquakes and Structures
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    • 제12권1호
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    • pp.35-45
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    • 2017
  • The current paper investigates the effect of the seismic pounding of neighboring buildings on the response of structures isolated by Triple Friction Pendulum Bearing (TFPB). To this end, a symmetric three-dimensional single story building is modeled for analysis with two specified levels of top deck and base deck, to capture the seismic response of the base isolators and building's roof. Linear elastic springs with different level of gaps are employed to calculate the impact between the buildings. Nonlinear Dynamic Time History Analyses (NDTHA) are conducted for seismic evaluation. Also, five different sizes with four different sets of friction coefficients are assumed for base isolators to cover a whole range of base isolation systems with various geometry configurations and fundamental period. The results are investigated in terms of base shear, buildings' drift and top deck acceleration of the superstructure. The results also indicate the profound effect of the stiffness of the adjacent buildings on the value of the impact they impose to the superstructure. Also, in situations of potential pounding, the increment of the fundamental period of the TFPB base isolator could intensify the impact force up to nearly five-fold.

삼중효용 LiBr/물 흡수식 냉방기의 사이클 시뮬레이션 (Cycle simulation of a triple effect LiBr/water absorption chiller)

  • 조광운;정시영;정은수
    • 설비공학논문집
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    • 제10권1호
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    • pp.79-87
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    • 1998
  • Basic design of a 50USRT(175㎾) triple effect absorption chiller driven by hot gas has been carried out for both parallel and series flow cycles. Parallel flow cycle showed higher COP, however, the temperature in the generator was also higher than that in series flow cycle. Dynamic operation behavior of a parallel flow system at off-design conditions, such as the change in heat transfer medium temperature or the construction change of the system components, has been investigated in detail. It was found that the cooling capacity was seriously decreased by reducing hot gas flow rate and UA-value in the high temperature generator. However, the system COP was improved, because thermal load in the system components was reduced. The COP and the cooling capacity was found to be improved as cooling water temperature decreased or chilled water temperature increased. The optimum ratio of solution distribution could be suggested by considering the COP, the cooling capacity and the highest temperature in the system, which is critical for corrosion.

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삼중염을 이용한 음식물 쓰레기 퇴비 중 염분제거 및 공정효율화 실험 (The experiment of process efficiency and salt elimination in food waste compost using triple salt)

  • 김남천;장병만
    • 유기물자원화
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    • 제14권2호
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    • pp.83-90
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    • 2006
  • 음식물 쓰레기로 만든 퇴비 중의 염분함량을 1% 이하로 조절하기 위해 지금까지 여러 가지 방법이 개발되었다. 그러나 이런 방법들은 침출수 과다로 인한 환경오염 또는 높은 설치비 등의 문제를 가지고 있어 실용화에 어려움이 있다. 염분이 충분히 제거되지 않은 음식물 쓰레기로 만든 퇴비를 농지에 사용할 경우 염해로 인한 식물의 성장 장애 및 염류축적이 일어날 수 있다. 본 연구는 음식물 쓰레기 퇴비에 함유된 염분을 $KHSO_5$, $KHSO_4$, $K_2SO_4$로 구성된 삼중염을 이용하여 분해하는 방법이며 기존 화학적 처리방법과 달리 염분을 분해하여 칼륨비료의 원료인 KCl로 전환시켰다. 또한 음식물 쓰레기 퇴비화 발효설비에서 음식물 쓰레기 600톤에 삼중염을 적용해본 결과 발효시의 온도가 평균 $5^{\circ}C$가 상승되었다. 온도상승과 함께 전처리 공정 및 발효공정에서 현저한 악취저감 효과가 나타났으며 이는 삼중염으로 인한 염분함량 감소로 호기성균의 활성화 및 악취원인물질을 효과적으로 제거하기 때문이다.

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