• 제목/요약/키워드: residual efficacy

검색결과 153건 처리시간 0.025초

Preliminary Experience of Neuroform Atlas Stenting as a Rescue Treatment after Failure of Mechanical Thrombectomy Caused by Residual Intracranial Atherosclerotic Stenosis

  • Yi, Ho Jun;Sung, Jae Hoon;Lee, Dong Hoon
    • Journal of Korean Neurosurgical Society
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    • 제64권2호
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    • pp.198-206
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    • 2021
  • Objective : The low-profile Neuroform Atlas stent can be deployed directly without an exchange maneuver by navigating into the Gateway balloon. This retrospective study assessed the safety and efficacy of Neuroform Atlas stenting as a rescue treatment after failure of mechanical thrombetomy (MT) for large artery occlusion. Methods : Between June 2018 and December 2019, a total of 31 patients underwent Neuroform Atlas stenting with prior Gateway balloon angioplasty after failure of conventional MT caused by residual intracranial atherosclerotic stenosis (ICAS). Primary outcomes were successful recanalization and patency of the vessel 24 hours after intervention. Secondary outcomes were vessel patency after 14 days and 3-month modified Rankin Scale. Peri-procedural complications, intracerebral hemorrhage (ICH), and 3-month mortality were reviewed. Results : With a 100% of successful recanalization, median value of stenosis was reduced from 79.0% to 23.5%. Twenty-eight patients (90.3%) showed tolerable vessel patency after 14 days. New infarctions occurred in three patients (9.7%) over a period of 14 days; two patient (6.5%) underwent stent occlusion at 24 hours, and the other patient (3.2%) with delayed stent occlusion had a non-symptomatic dot infarct. There were no peri-procedural complications. Two patients (6.5%) developed an ICH immediately after the procedure with one of them is symptomatic. Conclusion : Neuroform Atlas stenting seems to be an effective and safe rescue treatment modality for failed MT with residual ICAS, by its high successful recanalization rate with tolerable patency, and low peri-procedural complication rate. Further multicenter and randomized controlled trials are needed to confirm our findings.

Removal efficacy and cytotoxicity of a calcium hydroxide paste using N-2-methyl-pyrrolidone as a vehicle

  • Lim, Myung-Jin;Jang, Hyun-Jin;Yu, Mi-Kyung;Lee, Kwang-Won;Min, Kyung-San
    • Restorative Dentistry and Endodontics
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    • 제42권4호
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    • pp.290-300
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    • 2017
  • Objectives: This study investigated the removal efficacy and cytotoxicity of a newly developed calcium hydroxide paste (cleaniCal, Maruchi) using N-2-methyl-pyrrolidone (NMP) as a vehicle in comparison with ApexCal (Ivoclar Vivadent) and Calcipex II (Nishika), which use different vehicles such as polyethylene glycol and propylene glycol, respectively. Materials and Methods: Thirty maxillary premolars with oval-shaped canals were divided into 3 groups and the teeth were filled with one of the pastes. After removal of the paste, micro-computed tomographic (${\mu}$-CT) imaging was obtained to assess the volume of residual paste in the root canal of each tooth. The teeth were then split longitudinally and the area of the paste-coated surface was evaluated by stereomicroscopy. The cytotoxicity of each product was assessed using an agar overlay assay. The effect of each vehicle on cell viability was evaluated using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. The data were analyzed using one-way analysis of variance and Tukey's tests to detect any significance (p < 0.05). Results: In the ${\mu}$-CT and stereomicroscopic analysis, cleaniCal exhibited less remnants of medicament than ApexCal and Calcipex. cleaniCal showed a higher cytotoxicity than the other pastes in the agar overlay assay. Furthermore, NMP exhibited lower cell viability compared to the other vehicles. Conclusions: cleaniCal showed better removal efficacy compared to the other products. However, clinicians should be aware of the higher cytotoxicity of the NMP-based material and consider its possible adverse effects on periradicular tissue when it is overfilled.

남성 관상동맥질환자의 금연모형 구축 (Smoking-cessation Model for Male Patients with Coronary Heart Disease)

  • 김은경
    • 한국간호교육학회지
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    • 제8권1호
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    • pp.61-71
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    • 2002
  • purpose : The purpose of this study was to find out the influencing factors of smoking-cessation behavior of patients with coronary heart disease and to suggest the model of smoking-cessation behavior which was based on the relationship between influencing factors and then to test its fitness empirically. method : This study was based on the Theory of Reasoned Action and a hypothetical model was constructed with fifteen paths in consideration of main predictive factors of smoking-cessation behavior such as biological factor, disease-related characteristics, self-efficacy, supportive factor, environmental factor, disease-related perception factor, intention-to-quit, and psychological factor. The validity of a smoking- cessation model was tested to 264 patients with coronary heart disease by using SPSS 8.0 and Window LISREL 8.12a. results : 1. Seven of the 15 paths of smoking-cessation behavior proved to be significant. 2. The final model excluded three paths in the hypothetical model was demonstrated to be improved by $x^2$=44.31 (df=38, p=.22), Goodness of Fit Index (GFI)=.98, Adjusted Goodness of Fit Index (AGFI)=.96, Non-Normed Fit Index(NNFI)=1.00, Normed Fit Index(NFI)=1.00, and Root Mean Square Residual(RMR)=.24. 3.The smoking-cessation behavior was influenced directly by biological factor, self-efficacy, supportive factor, environmental factor, intention-to-quit, and psychological factor. The smoking-cessation behavior was accounted for 82% of variance by these factors. conclusion : although the adolescents' smoking behavior can be predicted by only smoking intention, it is hard to predict the adults' smoking-cessation behavior by only this factor. Therefore, intention-to-quit, self-efficacy, supportive factor should be improved because these are promotive factors for smoking-cessation behavior. Biological factor, environmental factor, and psychological factor are inhibitive factors, so nicotine replacement therapy is helpful to the high nicotine-dependents, and ex-smokers avoid other smokers in their environment and also patients should learn and practice the stress coping-skills.

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Enhancement of Disease Control Efficacy of Chemical Fungicides Combined with Plant Resistance Inducer 2,3-Butanediol against Turfgrass Fungal Diseases

  • Duraisamy, Kalaiselvi;Ha, Areum;Kim, Jongmun;Park, Ae Ran;Kim, Bora;Song, Chan Woo;Song, Hyohak;Kim, Jin-Cheol
    • The Plant Pathology Journal
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    • 제38권3호
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    • pp.182-193
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    • 2022
  • Turfgrass, the most widely grown ornamental crop, is severely affected by fungal pathogens including Sclerotinia homoeocarpa, Rhizoctonia solani, and Magnaporthe poae. At present, turfgrass fungal disease management predominantly relies on synthetic fungicide treatments. However, the extensive application of fungicides to the soil increases residual detection frequency, raising concerns for the environment and human health. The bacterial volatile compound, 2,3-butanediol (BDO), was found to induce plant resistance. In this study, we evaluated the disease control efficacy of a combination of stereoisomers of 2,3-BDO and commercial fungicides against turfgrass fungal diseases in both growth room and fields. In the growth room experiment, the combination of 0.9% 2R,3R-BDO (levo) soluble liquid (SL) formulation and 9% 2R,3S-BDO (meso) SL with half concentration of fungicides significantly increased the disease control efficacy against dollar spot and summer patch disease when compared to the half concentration of fungicide alone. In field experiments, the disease control efficiency of levo 0.9% and meso 9% SL, in combination with a fungicide, was confirmed against dollar spot and large patch disease. Additionally, the induction of defense-related genes involved in the salicylic acid and jasmonic acid/ethylene signaling pathways and reactive oxygen species detoxification-related genes under Clarireedia sp. infection was confirmed with levo 0.9% and meso 9% SL treatment in creeping bentgrass. Our findings suggest that 2,3-BDO isomer formulations can be combined with chemical fungicides as a new integrated tool to control Clarireedia sp. infection in turfgrass, thereby reducing the use of chemical fungicides.

HIGHER ORDER ITERATIONS FOR MOORE-PENROSE INVERSES

  • Srivastava, Shwetabh;Gupta, D.K.
    • Journal of applied mathematics & informatics
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    • 제32권1_2호
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    • pp.171-184
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    • 2014
  • A higher order iterative method to compute the Moore-Penrose inverses of arbitrary matrices using only the Penrose equation (ii) is developed by extending the iterative method described in [1]. Convergence properties as well as the error estimates of the method are studied. The efficacy of the method is demonstrated by working out four numerical examples, two involving a full rank matrix and an ill-conditioned Hilbert matrix, whereas, the other two involving randomly generated full rank and rank deficient matrices. The performance measures are the number of iterations and CPU time in seconds used by the method. It is observed that the number of iterations always decreases as expected and the CPU time first decreases gradually and then increases with the increase of the order of the method for all examples considered.

Output Feedback Control and Its Application to a Flexible Spacecraft

  • Sung, Yoon-Gyeoung;Joo, Hae-Ho
    • International Journal of Precision Engineering and Manufacturing
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    • 제1권2호
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    • pp.105-114
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    • 2000
  • An output feedback control (OFC) is presented for a linear stochastic system with known disturbance and applied to a flexible spacecraft for the reduction of residual vibration while allowing the natural deflection during operation. By converting the tracking problem into regulator problem, the OFC minimizes the expected value of a guadratic objective function composing of error stats which always remain on the intersection of sliding hypersurfaces. For the numerical evaluation with a flexible spacecraft, a large slewing maneuver strategy is devised with a tracking model for nominal trajectory and start-cost-stop strategy for economical maneuver in conjunction with the input shaping technique. The performance and efficacy of the proposed control scheme are illustrated with the comparison of different maneuver strategies.

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TBE 모델을 사용하는 HMM 기반 음성합성기 성능 향상을 위한 하모닉 선택에 기반한 MVF 예측 방법 (Harmonic Peak Picking-based MVF Estimation for Improvement of HMM-based Speech Synthesis System Using TBE Model)

  • 박지훈;한민수
    • 말소리와 음성과학
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    • 제4권4호
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    • pp.79-86
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    • 2012
  • In the two-band excitation (TBE) model, maximum voiced frequency (MVF) is the most important feature of the excitation parameter because the synthetic speech quality depends on MVF. Thus, this paper proposes an enhanced MVF estimation scheme based on the peak picking method. In the proposed scheme, the local peak and the peak lobe are picked from the spectrum of a linear predictive residual signal. The normalized distance between neighboring peak lobes is calculated and utilized as a feature to estimate MVF. Experimental results of both objective and subjective tests show that the proposed scheme improves synthetic speech quality compared with that of the conventional one.

Stochastic Simulation Model for non-stationary time series using Wavelet AutoRegressive Model

  • Moon, Young-Il;Kwon, Hyun-Han
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2007년도 학술발표회 논문집
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    • pp.1437-1440
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    • 2007
  • Many hydroclimatic time series are marked by interannual and longer quasi-period features that are associated with narrow band oscillatory climate modes. A time series modeling approach that directly considers such structures is developed and presented. The essence of the approach is to first develop a wavelet decomposition of the time series that retains only the statistically significant wavelet components, and to then model each such component and the residual time series as univariate autoregressive processes. The efficacy of this approach is demonstrated through the simulation of observed and paleo reconstructions of climate indices related to ENSO and AMO, tree ring and rainfall time series. Long ensemble simulations that preserve the spectral attributes of the time series in each ensemble member can be generated. The usual low order statistics are preserved by the proposed model, and its long memory performance is superior to the direction application of an autoregressive model.

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이차공 심방 중격 결손의 폐쇄: 경피적 방법과 수술적 방법의 비교 (Closure of secundum atrial septal defect: comparison between percutaneous and surgical occlusion)

  • 김나연;권현정;최덕영;정미진;최창휴;김성호
    • Clinical and Experimental Pediatrics
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    • 제50권5호
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    • pp.469-475
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    • 2007
  • 목 적 : 이차공 심방 중격 결손의 Amplatzer 기구를 이용한 경피적 폐쇄의 안정성, 효용성 및 임상 결과를 수술적 폐쇄법과 비교하기 위하여 본 연구를 시행하였다. 방 법 : 2000년 1월부터 2006년 6월까지 가천의과학대학교 길병원에서 이차공 심방 중격 결손으로 진단 받은 환자 115명을 대상으로 하였다. 그 중 70명에게 결손의 수술적 폐쇄술을 시행하였고, 45명의 환자에게 Amplatzer 기구를 이용한 경피적 폐쇄술을 시행하였다. 수술군과 시술군의 사망율, 합병증, 입원기간과 효용성을 조사하여 결과를 비교분석하였다. 결 과 : 전체 남녀 비는 1:2.4였다. 두 환자군에서 평균 연령과 결손크기는 유의한 차이가 없었다. 성공율은 시술군에서 97.8%, 수술군에서 100%였다. 전체 합병증은 수술군에서 시술군보다 많이 발생하였다(64.0 vs. 15.6%, P<0.05). 입원기간은 시술 군이 수술군보다 짧았다($4.2{\pm}1.2$ vs. $12.4{\pm}4.7days$, P<0.0001). 잔류단락은 시술군(8.9%)에서 수술군(4.3%)에 비해 더 많이 발생하였는데, 3개월후 추적 검사에서는 모두 소실되었다. 결 론 : 이차공 심방 중격 결손증의 Amplatzer 기구를 이용한 경피적 폐쇄는 수술을 대체할 수 있는 안전하고 효과적인 방법이다. 경험이 축적되고 기구가 발전하면서 경피적 폐쇄술의 적용 범위가 점차 확대되고 있다.

귤가루깍지벌레에 대한 단제 및 buprofezin 혼합제의 살충 활성 (Insecticidal activity of mixed formulation with buprofezin and single formulation without buprofezin against citrus mealbug, Planococcus citri Risso (Hemiptera: Pseudococcidae))

  • 박영욱;박준원;이선영;윤승환;구현나;김길하
    • 농약과학회지
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    • 제16권2호
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    • pp.163-170
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    • 2012
  • Buprofezin과 조합된 8종의 합제와 buprofezin을 포함하지 않은 11종의 단제 즉, 등록된 총 19종의 살충제를 대상으로 귤가루깍지벌레(Planococcus citri)의 약충과 성충에 분무처리하여 살충효과를 평가하였다. Buprofezin과 조합된 합제가운데 귤가루깍지벌레의 약충과 성충에 대해 93% 이상의 높은 살충활성을 나타내는 것은 5조합(buprofezin 15EC+acetamiprid 4EC, buprofezin 10SC+clothianidin 3SC, buprofezin 20WP+dinotefuran 15WP, buprofezin 20SC+thiacloprid 5SC, buprofezin 20SC+thiamethoxam 3.3SC) 이었다. 유기인계 약제 3종(EPN 45EC, fenitrothion 50EC 및 methidathion 40EC)은 약충에 대해서만 90~93%의 살충활성을 나타내었으며, 네오니코티노이드계 약제 4종(acetamiprid 8WP, clothianidin 8SC, dinotefuran 20WG 및 thiamethoxam 10WG)도 약충에 대해서만 90% 이상의 살충활성을 나타내었다. 그리하여 buprofezin과 조합된 8종의 합제가운데 93% 이상의 살충활성을 나타낸 5종 합제의 시설하우스 토마토와 장미에 대한 침투이행성과 잔효성 검정에서 모두 60% 이하의 낮은 살충활성을 나타내었다. 또한 시설하우스 장미에서 buprofezin과 조합된 5종 합제의 방제효과는 5일차까지 90% 이상, 10일차까지 80% 이상, 15일차까지 70% 이상으로 높게 나타났다.