• Title/Summary/Keyword: Bleeding Ratio

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Clinical Experience of Abdominal Aortic Aneurysm (복부 대동맥류의 임상적 경험)

  • Gu, Bon-Il;O, Sang-Jun
    • Journal of Chest Surgery
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    • v.28 no.3
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    • pp.263-267
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    • 1995
  • A total and consecutive 87 patients underwent aortic valve replacement[AVR with the St. Jude Medical prosthesis between 1984 and 1993. Age ranged from 14 to 66 years[mean:38.6$\pm$ 14.0 years .Twenty-one patients [24.1% had undergone previous valve replacement. There were 8 early deaths with an operative mortality rate of 9.2% [7.6% for primary AVR and 14.3 % for re-replacement AVR . Seventy-nine early survivors were,followed for a total of 309.1 patient-years[mean:3.9$\pm$ 2.5 years . A late mortality rate was 5.1% [4 patients or a linearized incidence of 1.294 %/patient-year. All were anticoagulated with coumadin to maintain the international normal ized ratio[INR between 1.5 and 2.5. One patient experienced thromboembolism[0.324%/patient-year , and none did bleeding. Endocarditis occurred in one[0.324%/patient-year . Paravalvular leak was the most frequent complication and was experienced by 8 patients[2.588%/patient-year , and 5 of them required re-replacement AVR[1.618 %/patient year of reoperation rate . There was no structural failure of the prosthesis. Actuarial survival including operative death was 83.9%$\pm$ 4.6% at 10 years.The actuarial estimates of freedom from thromboembolism and of freedom from late death and all complications were 95.1% $\pm$ 4.8 % and 81.4% $\pm$ 6.1%, respectively, at 10 years. These clinical results suggest that less intensive anticoagulation may be allowed for patients of AVR with the St. Jude Medical valve with low incidences of both thromboembolic and bleeding complications.

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Study on Application of the Morus Cortex Mainly Used in Herbal Prescription (On the Focus of Prescriptions including Morus Cortex in Donguibogam) (상백피(桑白皮)가 주약(主藥)으로 배오(配伍)된 방제(方劑)의 활용(活用)에 대한 고찰(考察) (동의보감 상백피 가미방 중심으로))

  • Seo Chang-Woo;Lee Jang-Cheon
    • Herbal Formula Science
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    • v.12 no.2
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    • pp.1-17
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    • 2004
  • This study was investigated to make sure the range of the Morus Cortex's treatment, the nature of disease, the chief virtue of medicine, the pathology and the usage quantity of it in Donguibogam The results were as follows; 1. The frequency of being used the Morus Cortex in the consumption or cough-relative chapter is as high as a ratio of 40.6%. 2. The Morus Cortex is used in a realm of the consumption or cough-relative disease, an otorhinolalyngology, an edema, a skin-relative disease, a bleeding trouble, a thirsty and diabetes melitus, etc. 3. The Morus Cortex is used in a realm of the pathology of the pulmonary heat, the pulmonary noxious vigor, the damage from external winds and colds, fatigue, etc. 4. The Morus Cortex is used in a range of $1g{\sim}12g$ in herbal-prescription. The main using dosage is 4g(about 42%). 5. The Morus Cortex is used with various crude herbs in accordance with the pathogeny. The Morus Cortex has been used to reduce heat from the lungs and soothe asthma, to promote urination and reduce edema from shinnongboncho era. According to the results, I suggest that we use the Morus Cortex in a various pathogenic fields. The Morus Cortex is able to remove not only pathogenic heat from the consumption or cough-relative disease, but also pathogenic otorhinolalyngology, an edema, a skin-relative disease, a bleeding trouble, a thirsty and diabetes melitus, etc.

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Study on Engineering Characteristics of Mixed Material and Mix Ratio Design to Develope Pipe Mixing Method (관중혼합처리공법 개발을 위한 혼합토 특성 및 최적배합비 산정에 관한 연구)

  • Han, Sang-Jae;Kim, Byung-Il;Hong, Kang-Han;Kang, Byung-Yoon
    • Journal of the Korean Geosynthetics Society
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    • v.14 no.1
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    • pp.33-41
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    • 2015
  • In this study, laboratory tests (flow, unit weight, unconfined compressive strength and bleeding tests) were performed to evaluate engineering properties of treated soil to improve pipe mixing method. As result, flow and bleeding properties are proportional to the water contents. The unit weight and unconfined compressive strength is decreased as the water contents increased. Comparing equipments contact pressure with bearing capacity of the mixed soil for dozer, backhoe and belt conveyor are immediately appliable. The applicable water content range is estimated from 80% to 200% by pipe mixing method using cement. Also, The design chart is developed from the results.

The Execution and Estimation of Construction Cost of High Fluidity Concrete Applying Flowing Concrete Method (유동화공법에 의해 제조한 고유동 콘크리트의 시공 및 원가분석)

  • Han, Min-Cheol
    • Journal of the Korea Institute of Building Construction
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    • v.4 no.2
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    • pp.129-136
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    • 2004
  • High fluidity concrete(HFC) requires high dosage of superplasticizer to acquire sufficient fluidity, and high contents of fine powder and viscosity enhancing admixtures to resist segregation. The use of high amount of admixtures to make HFC at batcher plant in ready mixed concrete company is one of the reasons to raise the manufacturing cost of HFC. For this reason, new type of manufacturing method of HFC are described using both flowing concrete method and segregation reducing superplasticizer(SRS) in order to gain economical profit and offer the convenience for quality control.. As dosage of melamine based superplasticizer increases, it shows that fluidity and bleeding increase, while air contents and ratio of segregation resistance decrease. It also shows that addition of viscosity agent into superplasticizer reduce bleeding and improve segregation resistance of concrete. Dosage of AE agent into superplasticizer containing viscosity agent recovers loss of air contents during flowing procedure. Combination of proper contents of superplasticizer, viscosity agent and AE agent make possible to develope segregation reducing type superplasticizer. Compressive strength of high fluidity concrete applying flowing method with it is higher than that of base concrete. No differences of compressive strength between compacting methods are found. For the estimation of construction cost of high fluidity concreting using segregation reducing type superplasicizer, under same strength levels, although material cost of high fluidity concrete is somewhat higher than that of plain concrete due to segregation reducing type superplasticizer cost, labor cost and equipment cost of high fluidity concrete is cheaper than that of plain concrete. However, based on the strength differences, high fluidity concrete shows lower material cost, labor cost and equipment cost than that of plain concrete due to decreasing in size of member and re-bar caused by high strength development of concrete.

Effect of Anti-washout Admixture Implementation on Backfill Aggregates on Underwater Structures (수중 구조물 골재 속채움 시 수중 불분리성 혼화제의 적용 효과)

  • Kim, Ukgie;Choi, Changho;Park, Bonggeun;Li, Zhuang;Cho, Samdeok
    • Journal of the Korean GEO-environmental Society
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    • v.15 no.9
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    • pp.59-67
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    • 2014
  • With increasing underwater structure construction, there is high interest in offshore foundation and underwater grout and various study has been done in this area. For grout materials constructed underwater, it may be washed away by water or easily disturbed and material separation phenomenon during curing period always happens. As a result, it is difficult to ensure construction quality and this has a significant influence on the design strength of structure. In this study, to understand application effects of anti-washout admixture for the preplaced construction method, where grout is injected in monopile after filled with aggregates, laboratory tests on bleeding and compressive strength of anti-washout admixture were performed under various test conditions varying size of aggregate, water and cement ratio and admixture, and test results were compared and evaluated.

The Effect of Exercise Induced Pulmonary Hemorrhage(EIPH) on Performance of Thoroughbred racehorses in Seoul Racecourse (서울경마장에서 경주마 운동기인성 폐출혈(EIPH)이 경주능력에 미치는 영향)

  • 김병선;김재훈;유승호;양영진
    • Journal of Veterinary Clinics
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    • v.15 no.2
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    • pp.427-431
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    • 1998
  • This study was undertaken to investigate the effect of exercise induced pulmonary hemorrhage(EIPH) on the finishing position of racehorses, 400 bleeders(305: 1 time, 76: 2 times, 19: 3 times, total: 514 cases) which had bled(EIPH) from their nostrils after their races at the Seoul racecourse during the 5 years period('93-'97) were analyzed for this study. The ratio of bleeders to total racehorses in finishing position 1-3,4-6, 7-9 or above 10 was 0.55, 0.84, 0.90 or 1.13%, respectively. There is tendency to higher incidence of bleeding in the later positioned racehorses group. To analyze the correlation between EIPH and finishing position, finishing potion of each EIPHed horses' was checked at 7 successive races(3 races each before/after EIPH. The average final position at the -3rd race, -2nd racer -lst racer EIPHed race, 1st race,2nd race and 3rd race of each bleeder was 5.85. 5.94, 6.21, 7.32, 7.20, 6.51 and 6.53, respectively. Raring times were adjusted to 1,000 m equivalent. Average racing times of the -3rd race,-2nd racer -lst raced EIPHed race, 1st race, 2nd race and 3rd race of each bleeder was 67.1, 67.1, 67.2, 67.6, 67.5, 67.4 and 67.3 second, respectively. Bleeders which finished the race within 1 second following the winners were 25. 3% of total bleeders. The rest 74.7% reached at the finish line 1 second later than the winners. Particularly 46.3% of bleeders were above 2 second later. Therefore this study suggested that bleeding has effect on performance of the racehorse, consequently it make bleeders be placed later positions.

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Surgical Treatment of Primary Lung Cancer (원발성 폐암의 외과적 치료)

  • 곽문섭
    • Journal of Chest Surgery
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    • v.21 no.1
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    • pp.87-100
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    • 1988
  • The authors evaluated 200 cases of primary carcinoma of lung in terms of the cell type, operability, resectability and survival rate, that proved by histopathologic examination at the Dept. of Thoracic and Cardiovascular Surgery, Catholic Medical College during the period of 11 years from Jan., 1977 to Dec., 1987. The results are as follows; 1] The peak incidence was observed in the 7th decade of life [34%] and followed by 6th [30%] 8 5th decade [25%]. Male to female ratio was 3.4:1. 2] Histopathologic classifications were squamous cell carcinoma 48% [96 cases], adenocarcinoma 27% [34 cases], small cell carcinoma 13%[26 cases], ;bronchioloalveolar cell carcinoma 5% [10 cases], large cell carcinoma 4.5% [9 cases], adenosquamous cell carcinoma 1.5% [3 cases] and adenoalveolar cell carcinoma 0.5% [1 case]. 3] Among 200 cases of primary lung cancer, the operability was 47.5% [95 cases], refusal of operation 6.0% [12 cases] and inoperability 46.5% [93 cases]. 4] Ninety five cases [47.5%] were operated. Of these, post-surgical stage I was 18.9% [18 cases], stage II 24.2% [23 cases] and stage III 56.8% [54 cases]. Among 54 cases of stage III, 32 cases were unresectable, while 22 cases were resectable. Consequently, the resectability was 31.5% [63 cases] from the total numbers of 200 cases, and the resectability for the operable 95 cases was 66.3% [63 cases]. 5] Surgical complications were empyema with bronchopleural fistula [4 cases], G-I bleeding [1 case], tedious pleural effusion [1 case] and acute respiratory insufficiency [1 case]. Operative mortality was 3.2% [2 cases], which caused by massive G-I bleeding [1 case] and respiratory insufficiency [1 case]. 6] On the long term follow-up of resectable 63 cases, overall 3 year survival rate was 35%, 5 year 22% and 9 year 2%. Five year survival rate was 39% in stage l, 30% in stage II and 0% in stage III. As for the cell types, the higher 5 year survival rate was observed in resectable squamous cell carcinoma [35%] as compared to adenocarcinoma [15%], alveolar cell carcinoma [14%], small cell carcinoma [0%] and large cell carcinoma [0%].

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Effect of Milled Glass Fibers on Corrosion Resistance of PSC Grout Mortar (초단유리섬유가 PSC 그라우트의 부식저항성능에 미치는 영향)

  • Moon, Do-Young;Kim, Sang-Woon;Kim, Dong-Joo
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.19 no.6
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    • pp.37-45
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    • 2015
  • In this experimental study, effect of milled glass fibers was investigated on corrosion resistance of PSC grout mortar. In order to check whether the mortar mixture with milled glass fibers satisfy the required properties as a PSC grout, time of flow, bleeding and compressive strength measured. The corrosion resistance were investigated through chloride ion migration test, mortar absorption test and surface resistivity measurement. It is confirmed that all proportions with milled glass fibers have better corrosion resistance than that with only OPC binder. Time of flow was reduced but the bleeding was increased to unacceptable level by using milled glass fibers. Consequently, the mix proportion with milled glass fibers for a PSC grout should be modified to have lower water/binder ratio.

Determination of Optimal Mixture Proportion of Segregation Reducing Type Superplasticizer for High Fluidity Concrete (고유동 콘크리트용 분리저감형 유동화제의 최적배합비 결정)

  • 한천구;김성수;손성운
    • Journal of the Korea Concrete Institute
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    • v.14 no.3
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    • pp.275-282
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    • 2002
  • High fluidity concrete needs high dosage of superplasticizer to acquire sufficient fluidity and high contents of fine powder and viscosity agents to prevent segregation. But it requires high manufacturing cost and has difficult in quality control. Therefore, in this paper, determination of optimal mixture proportion of segregation type superplasticizer for high fluidity concrete and manufacturing high fluidity concrete by applying developed segregation reducing type superplasticizer are discussed using flowing concrete method. According to test results, as dosage of superplasticizer increases, it shows that fluidity and bleeding increase, while air contents and ratio of segregation resistance decrease. It also shows that adding viscosity agent into it reduce bleeding and improve segregation resistance. Dosage of AE agent into it containing viscosity agent recovers loss of air contents during flowing procedure. Combination of proper contents of superplasticizer, viscosity agent and AE agent make possible to develope segregation reducing type superplasticizer Compressive strength of high fluidity concrete applying flowing method with it is higher than that of base concrete. No differences of compressive strength between compacting methods are found.

Percutaneous Dilatational Tracheostomy in a Cardiac Surgical Intensive Care Unit: A Single-Center Experience

  • Vignesh Vudatha;Yahya Alwatari;George Ibrahim;Tayler Jacobs;Kyle Alexander;Carlos Puig-Gilbert;Walker Julliard;Rachit Dilip Shah
    • Journal of Chest Surgery
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    • v.56 no.5
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    • pp.346-352
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    • 2023
  • Background: A significant proportion of cardiac surgery intensive care unit (CSICU) patients require long-term ventilation, necessitating tracheostomy placement. The goal of this study was to evaluate the long-term postoperative outcomes and complications associated with percutaneous dilatational tracheostomy (PDT) in CSICU patients. Methods: All patients undergoing PDT after cardiac, thoracic, or vascular operations in the CSICU between January 1, 2013 and January 1, 2021 were identified. They were evaluated for mortality, decannulation time, and complications including bleeding, infection, and need for surgical intervention. Multivariable regression models were used to identify predictors of early decannulation and the complication rate. Results: Ninety-three patients were identified for this study (70 [75.3%] male and 23 [24.7%] female). Furthermore, 18.3% of patients had chronic obstructive pulmonary disease (COPD), 21.5% had history of stroke, 7.5% had end-stage renal disease, 33.3% had diabetes, and 59.1% were current smokers. The mean time from PDT to decannulation was 39 days. Roughly one-fifth (20.4%) of patients were on dual antiplatelet therapy and 81.7% had anticoagulation restarted 8 hours post-tracheostomy. Eight complications were noted, including 5 instances of bleeding requiring packing and 1 case of mediastinitis. There were no significant predictors of decannulation prior to discharge. Only COPD was identified as a negative predictor of decannulation at any point in time (hazard ratio, 0.28; 95% confidence interval, 0.08-0.95; p=0.04). Conclusion: Percutaneous tracheostomy is a safe and viable alternative to surgical tracheostomy in cardiac surgery ICU patients. Patients who undergo PDT have a relatively short duration of tracheostomy and do not have major post-procedural complications.