In severe cases of coronary artery disease, percutaneous coronary intervention provide promising results. The stent used could be a drug-eluting stent (DES) or a titanium-nitride-oxide coated stent ...(TiNOS).
To compare the 5-year effectiveness and safety of the two stent types.
The following systematic review and meta-analysis was conducted in accordance with the preferred reporting items for systematic reviews and meta-analysis guidelines, and PubMed/MEDLINE, Scopus, and Cochrane Central were searched from inception till August 2023. Primary outcomes were major adverse cardiac events (MACE), cardiac death, myocardial infarction (MI), cardiac death or MI, and ischemia-driven total lesion revascularization (ID-TLR).
Four randomized controlled trials (RCT), which analyzed a sum total of 3045 patients with acute coronary syndrome (ACS) after a median follow-up time of 5 years were included. Though statistically insignificant, an increase in the ID-TLR was observed in patients receiving TiNOSs
DESs. In addition, MI, cardiac death and MI, and definite stent thrombosis (DST) were significantly decreased in the TiNOS arm. Baseline analysis revealed no significant results with meta-regression presenting non-ST elevated MI (NSTEMI) as a statistically significant covariate in the outcome of MACE.
TiNOS was found to be superior to DES in terms of MI, cardiac death or MI, and DST outcomes, however, the effect of the two stent types on ID-TLR and MACE was not significant. A greater number of studies are required to establish an accurate comparison of patient outcomes in TiNOS and DES.
In general aneurysms of the pulmonary arteries are less frequent than intracranial, aortic or other vascular locations. Infectious causes include bacteria such as Staphylococcus sp and Streptococcus ...sp, mycobacteria, Treponema pallidium (syphilis) and rarely fungi. We report a 7 year old female with two right-sided parahilar pseudo-aneurysm of fungal origin with a prior history of ventricular septal defect. Pulmonary mycotic pseudo-aneurysms are very rare and require a high suspicion to diagnose. If a patient is still symptomatic for fever and cough for a long time, and consolidation on x-ray is not improving on antibiotics, contrast-enhanced computed tomography is indicated. It can be suspected that the "friable mass attached to ventricular septal defect patch" was a source of fungeal emboli to pulmonary arteries thus giving weight to the infective endocarditis etiology. A prior history of ventricular septal defect repair could favour fungal endocarditis.
The internet has provided a vast range of benefits to society, and empowering people in a variety of ways. Due to incredible growth of Internet usage in past 2 decades, everyday a number of new Web ...applications are also becoming a part of World Wide Web. The distributed and open nature of internet attracts hackers to interrupt the smooth services of web applications. Some of the famous web application vulnerabilities are SQL Injection, Cross Site Scripting (XSS) and Cross Site request Forgery (CSRF). We believe that in order to encounter these vulnerabilities; the web application vulnerabilities scanner should have strong detection and prevention rules to ease the problem. At present, a number of web application vulnerabilities scanners have been proposed by research community, such as ZED Attack Proxy (ZAP) by AWASP, Wapiti by sourceforge.net and w3af by w3af.org. However, these scanners cannot challenge all web vulnerabilities. This research proposed and develop a vulnerability scanning tool WUM (web unique method) to detection and prevention of all the major instance vulnerabilities and demonstrates how to detect unauthorized access by finding vulnerabilities. With the efficient use of this tool, the developers are able to find potentially vulnerable web application. WUM generated a high level of accuracy and compatibility, which is elaborated underneath. The result of the experiment shows proposed vulnerability scanner tool WUM which gives less false positive and detect more vulnerabilities in comparison of well-known black box scanners.
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