• Title/Summary/Keyword: Bleeding

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Risk of Hemorrhage Attributed to Underlying Chronic Diseases and Uninterrupted Aspirin Therapy of Patients Undergoing Minor Oral Surgical Procedures: A Retrospective Cohort Study

  • Rojanaworarit, Chanapong;Limsawan, Soontaree
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.3
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    • pp.165-176
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    • 2017
  • Objectives: This study aimed to estimate the risk of bleeding following minor oral surgical procedures and uninterrupted aspirin therapy in high-risk patients or patients with existing chronic diseases compared to patients who did not use aspirin during minor oral surgery at a public hospital. Methods: This retrospective cohort study analyzed the data of 2912 patients, aged 20 years or older, who underwent 5251 minor oral surgical procedures at a district hospital in Thailand. The aspirin group was comprised of patients continuing aspirin therapy during oral surgery. The non-aspirin group (reference) included all those who did not use aspirin during surgery. Immediate and late-onset bleeding was evaluated in each procedure. The risk ratio of bleeding was estimated using a multilevel Poisson regression. Results: The overall cumulative incidence of immediate bleeding was 1.3% of total procedures. No late-onset bleeding was found. A significantly greater incidence of bleeding was found in the aspirin group (5.8% of procedures, p<0.001). After adjusting for covariates, a multilevel Poisson regression model estimated that the bleeding risk in the aspirin group was 4.5 times higher than that of the non-aspirin group (95% confidence interval, 2.0 to 10.0; p<0.001). However, all bleeding events were controlled by simple hemostatic measures. Conclusions: High-risk patients or patients with existing chronic diseases who continued aspirin therapy following minor oral surgery were at a higher risk of hemorrhage than general patients who had not used aspirin. Nonetheless, bleeding complications were not life-threatening and could be promptly managed by simple hemostatic measures. The procedures could therefore be provided with an awareness of increased bleeding risk, prepared hemostatic measures, and postoperative monitoring, without the need for discontinuing aspirin, which could lead to more serious complications.

Endoscopic Hemostasis for Bleeding Gastric Ulcer Caused by Ibuprofen in a 16-month-old Infant

  • Na, So Young
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.15 no.2
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    • pp.105-110
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    • 2012
  • Gastric ulcers are rare in children and are typically seen in cases of Helicobacter pylori (H. pylori) infection, non-steroidal anti-inflammatory drugs (NSAIDs) use, and critical illnesses such as sepsis. The risk of a bleeding ulcer due to use of NSAIDs is dependent on the dose, duration, and the individual NSAIDs, but the bleeding may occur soon after the initiation of NSAID therapy. An experience is described of a 16-month-old infant with a bleeding gastric ulcer after taking the usual dosage of ibuprofen for 3 days. The infant was also successfully treated with endoscopic hemostasis. Even a small amount of ibuprofen may be associated with bleeding gastric ulcers in infant.

A Clincal Case of Abnormal Uterine Bleeding (붕루(崩漏) 환자(患者)의 임상보고 1례)

  • Im, Kyu-Jung;Yoo, Dong-Youl
    • Journal of Haehwa Medicine
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    • v.23 no.1
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    • pp.167-172
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    • 2014
  • Purpose : The purpose of this report is to record the effects of oriental treatments for the abnormal uterine bleeding Methods : This is a case report of a 16 year old female patient suffering from abnormal uterine bleeding for eight months. She was treated by Herb therapy for 3 months. During the treatments, we checked changes of symptoms. Results : After Herb therapy, abnormal uterine bleeding was disappeared and recovered the normal menstrual cycle. Conclusion : This clinical case shows that Herb therapy has potentially effective for abnormal uterine bleeding. More clinical data and studies are required for the treatment of abnormal uterine bleeding.

Influence of Mixing and Construction Factor on the Bleeding of Concrete (콘크리트의 블리딩에 미치는 배합 및 시공요인의 영향)

  • 황인성;김경민;전충근;신병철;한천구
    • Proceedings of the Korea Concrete Institute Conference
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    • 2002.10a
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    • pp.265-268
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    • 2002
  • This study is focused on the influence of mixture and construction factor on bleeding amount of concrete According to the results, Amount of bleeding with mixture factor increases with increase of water contents and W/C. Amount of bleeding with construction factors is larger in the case of placing height of 1m than in the case of placing height of 0 and 0.5m. Amount of bleeding is larger at the temperature of 20℃ than at the temperature of 35℃ and 5℃, and increases in order of vibration compacting, standard lamping and non tamping. Therefore, to reduce bleeding, it is thought that it is profitable to reduce water content within the range that fluidity and workability don't go bad, to lower the placing height and not to do compacting too much.

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THE HEMOSTASIS IN INTRACTABLE POSTERIOR NASAL BLEEDING WITH ANGIOGRAPHIC EMBOLIZATION;A CASE REPORT (혈관조영색전술을 이용한 비조절성 후비강부 출현의 처치;증례 보고)

  • Nam, Ki-Young;Kwon, Tae-Geon;Kim, Jong-Bae
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.22 no.4
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    • pp.454-457
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    • 2000
  • The posterior nasal bleeding sometimes develope a life threatening situation because of its limited access and the profuse vascular network of the bleeding area. There are various methods of hemostasis including packing, cautery, and arterial ligation those vary in effectiveness. But sometimes patients cannot tolerate these methods or show rebleeding sign. So, if all of these methods are not successful, we should consider the further treatment. The selective angiographic embolization has various advantages such as rapidness, repetition, good visualization, and being performed under local anesthesia, therefore it can provide useful way in patients with massive, intractable posterior nasal bleeding. We report a case of angiographic embolization for intractable posterior nasal bleeding patient and review the effectiveness of the this treatment.

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A case report of Abnormal Uterine Bleeding (붕루(崩漏) 환자(患者) 1례(例)에 대한 임상보고)

  • Lim, Eun-Mee;Yuk, Sang-Suk
    • The Journal of Korean Obstetrics and Gynecology
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    • v.19 no.4
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    • pp.245-255
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    • 2006
  • Purpose : The purpose of this study is to report the effect of oriental treatments for the abnormal uterine bleeding. Methods : We treated a 30-year-old female who had been suffering from abnormal uterine bleeding for one month by Herb medication(Yikweseungyangtang, Chokyungjongoktang, Jahagehwan), acupuncture therapy and moxibustion therapy at the same time. And these teatments were based on 塞流([sailiu]-stanch blood), 澄源([chengyuan]-correct origin), 復舊([fuliu-restore) which are principles of treatment of 崩漏([benglou]-metrorrhagia). Results : After oriental medical teatment, abnormal uterine bleeding was disappeared and recovered the normal menstrual cycle. Conclusion : This case study shows that the oriental medical treatment in accordance with three principles of oriental treatment has an useful effect on abnormal uterine bleeding patient's treatment and recovery.

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Influence of Fine Aggregate on the Bleeding of Concrete (잔골재가 콘크리트의 블리딩에 미치는 영향)

  • 황인성;배정렬;심보길;전충근;한천구
    • Proceedings of the Korea Concrete Institute Conference
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    • 2001.11a
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    • pp.317-322
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    • 2001
  • This paper investigates the influence of fine aggregates on bleeding of concrete. According to test results, as water content decreases, crushed sand content increases, fluidity shows decline tendency. As for aggregates kinds, concrete using sea sand shows most fluidity loss among the tested results. Compressive strength gains highly when crushed sand is used. As for bleeding of concrete, bleeding shows decline tendency because of increasing in powder content and filling effect of voids. Bleeding amount is in a decreasing order of magnitude for concretes made with the following aggregates: sea sand, river sand, and crushed sand. Accordingly, crushed sand mixed with river sand and sea sand with certain proportion enable to reduce bleeding and enhance strength.

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Influence of Chemical Admixture on Bleeding of Concrete (콘크리트의 블리딩에 미치는 혼화제의 영향)

  • 김은호;황인성;손유신;김규용;한천구
    • Proceedings of the Korea Concrete Institute Conference
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    • 2003.05a
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    • pp.339-342
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    • 2003
  • This study is intended to investigate the influence of chemical admixture on bleeding of concrete. According to the results, the amount of bleeding with elapse of time does not make much difference in the case of naphthalene type water reducing agent(RN), Naphthalene type high performance water reducing agent(HN) and Melamine type high performance water reducing agent(HM), but it is largest in the case of Polycarbonic acid type high performance water reducing agent(HP). Bleeding speed also is highest in the case of HP in comparison with other chemical admixture. This prove that high performance water reducing agent like HP has little effect on fluidity of concrete, but influences the amount of bleeding more greatly, instead. As properties of hardened concrete, compressive strength makes no difference in the case of RN, HN and HM, but on the other hand, it increases in the case of HP due to a decrease of air content and the large amount of bleeding.

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Case Reports on Two Patients with Dysfunctional Uterine Bleeding (기능성 자궁출혈 치험 2례 증례보고)

  • Kim, Mi Seon;Shin, Hyun Jong;Jeong, Han Sol
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.29 no.6
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    • pp.510-516
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    • 2015
  • The purpose of this study is to present the two treatment case of patient with dysfunctional uterine bleeding. Each patient has received the Korean Medicinal treatment including acupuncture, moxibustion, and herbal medication twice a week for a month or six months. This efficacy of treatment was evaluated with the degree of bleeding by the number of pad used per day. After finishing treatment, two patients had stopped bleeding, and their menstrual cycle returned to the normal range. Moreover, additional clinical manifestations including leukorrhea, hot flush, bloating, feeling tired and irritability which refers to the premenstrual syndrome were also alleviated. This case report showed that the acupuncture, moxibustion, and the herbal medicinal treatment can be effective for the treatment of the dysfunctional uterine bleeding.

Management of Bleeding Induced by Tyrosine Kinase Inhibitor in Radioiodine Refractory Thyroid Cancer (방사성요오드 불응성 갑상선암에서 티로신키나아제 억제제 투여로 유발된 출혈 이상 반응 관리)

  • Shin, Dong Yeob
    • International journal of thyroidology
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    • v.11 no.2
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    • pp.71-74
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    • 2018
  • Adverse events such as hemoptysis and gastrointestinal hemorrhage during tyrosine kinase inhibitor treatment are relatively rare, but the severity of the bleeding can be higher than other common adverse events. It is necessary to educate patients about its possibility so that they can be found early. In this case report of radioiodine refractory thyroid cancer patient, hemoptysis and gastrointestinal bleeding has occurred following lenvatinib administration. Drug interruption and dose modification and dose interruption were required in addition to management for bleeding itself. It is necessary to confirm the high risk of bleeding before the administration of tyrosine kinase inhibitors, and to appropriately control the follow-up interval and drug dosage accordingly.