• 대한한의학방제학회지
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• 제14권2호
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• pp.109-115
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• 2006

A 50-year-old female patient who had anovulational uterine with acute heavy uterine bleeding from the 18th., October, 2006 was hosptalized from the 7th November, 2006 to the 18th, November, 2006 in Dongshindae suncheon Oriental Medical hospital. The patient had been treated with herb-meidcation, acupuncture therapy and moxa therapy. In acupuncture therapy Sp10(Hyulhae, 血海,) Liv3(Taechung, 太衝) Sp6(Samumgyo, 三陰交) Cv6(Gihae. 氣海) Cv12(chunwan, 中脘) L14(Hapgok. 合谷) L7(列缺), were used on the 7th, November, 2006. In the Herbal Therapy, Seungynaggihyultang, Gamiguibitang, was used, In the Moxa therapy, Cv6(Gigae, 氣海) Cv12(chunwnas, 中脘) were used.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제16권1호
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• pp.1-9
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• 2013

Variceal bleeding results in significant morbidity and mortality in both children and adults. The guidelines for the management of variceal bleeding are well established in adults but not in children as there have been insufficient pediatric studies of this disorder. In addition, the adult guidelines for treatment of variceal bleeding cannot be applied directly to children as the etiology and natural course of this disease differs between children and adults. Examples of recommended treatments in children include endoscopic variceal ligation as secondary prophylaxis for biliary atresia whereas a meso-Rex shunt operation for extrahepatic portal vein obstruction. In this review, we discuss prophylaxis options and some technical aspects of endoscopic management for variceal bleeding in children.

• 한국수소및신에너지학회논문집
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• 제26권4호
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• pp.377-385
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• 2015

This paper presents a thermodynamic performance analysis of regenerative organic Rankine cycle (ORC) using turbine bleeding to utilize low-grade finite thermal energy. Refrigerant R245fa was selected as the working fluid. Special attention is paid to the effects of the turbine bleeding pressure and the turbine bleed fraction on the thermodynamic performance of the system such as net power production and thermal efficiency. Results show that the thermal efficiency has an optimum value with respect to the turbine bleeding pressure and the net power production is lower than the basic ORC while the thermal efficiency is higher.

• Archives of Plastic Surgery
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• 제36권1호
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• pp.93-95
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• 2009

Purpose: Congenital factor VII (FVII) deficiency is a rare bleeding disorder and surgery can cause excessive bleeding due to an extrinsic pathway problem. It can be diagnosed by increased PT and decreased FVII level in coagulation test. Symptom varies according to the level of FVII, but it is essential to prevent intraoperative excessive bleeding. Methods: In this report, we described the orthognatic surgery experience in a mandibular prognathism patient with congenital FVII deficiency, in which recombinant activated factor VII (rFVIIa) was used to manage the bleeding. Rsults: We could get a successful result without any complication and there was minimal intraoperative bleeding. Conclusion: The orthognathic surgery could therefore be safely performed in patients with congenital factor VII deficiency using rFVIIa.

• International Journal of Oral Biology
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• 제40권3호
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• pp.147-150
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• 2015

The purpose of this study was to evaluate the effect of single antiplatelet treatment on delayed bleeding, in patients undergoing dental extraction. A total of 154 teeth were extracted in 94 patients with ongoing antiplatelet treatment, who were taking single antiplatelet of either aspirin or clopidogrel. All patients underwent simple dental extraction; local hemostasis was performed with gauze-biting, suturing, and/or application of a local hemostatic agent. Delayed bleeding was recorded in 5 teeth out of a total of 154 teeth after extraction, the incidence of postoperative delayed bleeding being 3.2%. The bleeding was controlled by the patients themselves, through application of pressure with additional gauze-biting. No one visited the doctor or emergency room for hemostasis. These results confirmed that patients taking single antiplatelet drugs may have teeth extracted safely without interruption of the antiplatelet treatment.

• 대한치과의사협회지
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• 제57권10호
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• pp.606-612
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• 2019

Antiplatelet agent is administered to the patients who have ischemic heart disease, transient cerebral infarction, as well as hypertension, etc. Antiplatelet agent prevents thromboembolism by inhibition of platelet aggregation by various mechanism. Due to that reason, patient who administered antiplatelet agent has bleeding tendency. Surgeon does not want to make a complication by bleeding during and after operation, and want to stop taking antiplatelet agent. However, It is very dangerous for the patient to stop antiplatelet agent. Local bleeding as a complication after operation is considered minor one, whereas thromboembolism is life threatening serious complication. Most dental intervention can be performed without withdrawal of antiplatelet agent. Dental intervention should be limited area, and surgeon should do active bleeding control.

• 여성건강간호학회지
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• 제20권2호
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• pp.148-154
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• 2014

Purpose: This study was done to evaluate postoperative patient satisfaction, vaginal bleeding, and sexual function in women after laparoscopic supracervical hysterectomy (LSH). Methods: A retrospective study was conducted using a questionnaire mailed to 131 women who underwent LSH between 2008 and 2011at the Department of Obstetrics &Gynecology, D University Hospital in Chungnam province. Indication for LSH was uterine myoma. The questionnaire contained questions on overall postoperative satisfaction, influence on quality of life of vaginal bleeding, and sexual satisfaction following surgery. Data were collected from March to July 2013 and 109 (83.2%) patients returned the questionnaire. Results: Most women reported being very satisfied (90.8%) or satisfied (7.3%), but 2 women (1.8%) were not satisfied with LSH. Four patients (3.4%) reported experiencing vaginal bleeding but with no negative influence on quality of life. Of sexually active women, 82 patients (90.1%) reported improvements in sexual function, 8 patients (8.8%) reported "no change", and one patient (1.1%) reported a deterioration Conclusion: Results of this study indicate that LSH is associated with a high degree of patient satisfaction, no negative influence on quality of life from vaginal bleeding, and improvement in sexual function to a minimum 2 years after the procedure.

• 대한장애인치과학회지
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• 제8권1호
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• pp.15-21
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• 2012

Extraction of all nonrestorable teeth prior to bone marrow transplantation is the major dental management of the patient being prepared for the transplantation. But, there are four principal causes for excessive bleeding in the immediate postextraction phase ; (1) Vascular wall alteration (wound infection, scurvy, chemicals, allergy) (2) Disorders of platelet function (3) Thrombocytopenic purpuras (4) Disorders of coagulation (liver disease, anticoagulation drug-heparin, coumarin, aspirin, plavix) If the hemorrhage from postextraction wound is unusually aggressive, the socket must be packed with local hemostatic agent and wound closure & pressure dressing are applied. But, in dental alveoli, local hemostatic agent (gelfoam, surgcel etc) may absorb oral microorganisms and cause alveolar osteitis (infection). This is a case report of bleeding and infection control by suture, pressure packing and iodoform gauze drainage on infected active bleeding extraction socket under sedation and local anesthesia in a 57-years-old multiple disabled patient with anticoagulation drug.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제23권5호
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• pp.458-460
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• 2001

A 11-month-old infancy was referred for treatment of cleft palate. The patient's congenital deformities had included oronasal fistula on the soft palate and bifid uvula. Furrow double-opposing Z-plasty was performed under general anesthesia. However, postoperative bleeding developed at ward. Despite the pressure of operative wound, venous oozing continued and hemoglobin concentration and RBC were decreased (Hb: 5.5g/dL, RBC: $1.98{\times}10^6/mm^3$). The patient was pale and confused and transferred to Surgical Intensive Care Unit(SICU) We could not keep the peripheral venous line and there was a high risk of hypovolemic shock. Emergency transfusion was performed through the central femoral venous line and emergency operation for bleeding control was carried out. We explored the operation site and found bleeding point from the posterior pharyngeal wall. Electrocoagulation and surgicel packing were carried out and bleeding was stopped.

• 대한한방부인과학회지
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• 제33권3호
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• pp.198-211
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• 2020

Objectives: The purpose of this study is to report the effect of Haedoksamul-tang on three patients with heavy menstrual bleeding. Methods: Three patients took Haedoksamul-tang for 3 months 5 cycles and got electric needle and infrared therapy. The Pictorial Blood loss Assessment Chart was used to evaluate menstrual index that shows the menstrual bleeding loss. We also assessed dysmenorrhea using the Numerical Rating Scale during the treatment. Results: The Menstrual Index has decreased and the symptoms of dysmenorrhea have relieved after treating with Haedoksamul-tang. Conclusions: The case report shows that Haedoksamul-tang is effective on patients with heavy menstrual bleeding.