• 제목/요약/키워드: Bleeding Ratio

검색결과 304건 처리시간 0.025초

물시멘트비에 따른 바텀애시를 사용한 콘크리트의 특성에 관한 실험적 연구 (An Experimental Study on the Properties of Concrete using Bottom Ash according to Water-Cement Ratio)

  • 이종호;김재환;김용로;강석표;최세진;김무한
    • 한국건축시공학회:학술대회논문집
    • /
    • 한국건축시공학회 2002년도 학술논문발표회
    • /
    • pp.57-60
    • /
    • 2002
  • Recently, the coal ash production has been increased by increase of consumption of electric power. So it is important to find a reclaimed place and treatment utility for treating coal ash. Accordingly, in this study we performed an experimental study to compare and analyze the Properties of concrete according to W/C and bottom ash replacement ratio. As a result of this study, it was found that the bleeding content was decreased according to decrease of W/C and increase of bottom ash replacement ratio, and the compressive strength of concrete using bottom ash was similar to plain concrete(replacement ratio 0%).

  • PDF

Prostatic Bleeding after Prostatic Biopsy Effects Oncological Outcomes with Laparoscopic Radical Prostatectomy

  • Takai, Tomoaki;Inamoto, Teruo;Komura, Kazumasa;Tsujino, Takuya;Matsunaga, Tomohisa;Yoshikawa, Yuki;Uchimoto, Taizo;Saito, Kenkichi;Tanda, Naoki;Minami, Koichiro;Uehara, Hirofumi;Ibuki, Naokazu;Takahara, Kiyoshi;Nomi, Hayahito;Kiyama, Satoshi;Azuma, Hayahito
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제17권3호
    • /
    • pp.1373-1377
    • /
    • 2016
  • Background: We vigorously reviewed patients' operation record who had adhesion of the Denonvilliers' fascia and found out most of these patients had prostatic bleeding after prostatic gland biopsies. We examined the magnitude of prostatic bleeding and frequency after biopsies and the relationship with oncological outcomes. Materials and Methods: A total of 285 patients were selected for the final analyses. Inclusion criteria were as follows: receiving MRI three weeks after biopsiesand laparoscopic radical prostatectomy within 300 days after biopsy. We divided the patients into two groups with (group A) or without (group B) prostatic bleeding. We examined the magnitude of prostatic bleeding after biopsies and the relationship with operation time (OT), positive surgical margin (PSM), biochemical recurrence (BCR) and other factors. Furthermore, we created a logistic-regression model to derive a propensity score for prostatic bleeding after biopsies, which included all patient and hospital characteristics as well as selected interaction terms, and we examined the relationship with PSM and BCR. Results: In all patients, the OT in the group B was shorter than the group A (p < 0.001). Prostatic bleeding was associated with PSM (p=0.000) and BCR (p=0.036). In this propensity-matched cohort, 11 of 116 patients in the group B had PSM as compared with 36 of 116 patients from group A (match-adjusted odds ratio, 4.30; 95%CI confidence interval, 2.06 to 8.96; P=0.000). In addition, eight of 116 patients in group B encountered BCR, as compared with 18 of 116 patients in group A (match-adjusted odds ratio, 2.48; 95%CI, 1.03 to 5.96; P=0.042). Kaplan-Meier analysis in the propensity matching cohort showed a significant biochemical recurrence-free survival advantage for being free of prostate bleeding after biopsies. Conclusions: Our findings in the present cohort should help equip surgeons to pay attention to careful excision especially for those who experienced deferred prostatic bleeding.

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
    • /
    • 제50권3호
    • /
    • pp.165-176
    • /
    • 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.

AE 센서 설치를 위한 커플링 재료의 블리딩 특성 (Bleeding characteristics of coupling materials for installation of acoustic emission (AE) sensor)

  • 이종원;김현우;김민관;오태민
    • 한국터널지하공간학회 논문집
    • /
    • 제19권4호
    • /
    • pp.635-650
    • /
    • 2017
  • 최근 AE 센서를 이용하여 지하 구조물 및 터널의 손상을 모니터링 하는 기법이 널리 활용되고 있다. 지하구조물 내 삽입되는 AE 센서는 커플링(coupling) 상태에 따라 신호의 신뢰도가 결정된다. 건전도 모니터링의 신뢰도를 확보하기 위해서는 커플링 재료의 특성을 이해하는 것이 중요하다. 본 연구에서는 블리딩(bleeding)특성을 규명하기 위해 커플링 재료로 포틀랜드 시멘트, 마이크로 시멘트, 그리고 석고를 이용하여 실내실험을 수행하였다. 블리딩 특성에 영향을 미치는 실험 인자를 물-시멘트 배합비율, 재료의 종류, 양생 기간, 그리고 총 주입량으로 결정하였다. 실험결과, 물-시멘트 배합비율과 커플링 주입량이 증가하면 커플링 재료의 블리딩 비율은 증가하는 결과를 보였으며, 포틀랜드 시멘트의 경우 가장 영향이 큰 것으로 분석되었다. 그러나 모든 커플링 재료에서 양생 기간이 블리딩에 미치는 영향은 미미한 것으로 분석되었다. 본 연구에서 규명된 커플링 재료의 블리딩 특성결과는 AE 센서 설치 시 적합한 재료 선정을 위하여 유용하게 활용될 수 있을 것으로 기대된다.

Clinical Factors and Perioperative Strategies Associated with Outcome in Preinjury Antiplatelet and Anticoagulation Therapy for Patients with Traumatic Brain Injuries

  • Pang, Chang Hwan;Lee, Soo Eon;Yoo, Heon
    • Journal of Korean Neurosurgical Society
    • /
    • 제58권3호
    • /
    • pp.262-270
    • /
    • 2015
  • Objective : Long-term oral anticoagulation or antiplatelet therapy has been used with increasing frequency in the elderly. These patients are at increased risk of morbidity and mortality from expansion of intracranial hemorrhage. We conducted a single-center retrospective case control study to evaluate risk factors associated with outcomes and to identify the differences in outcome in traumatic brain injury between preinjury anticoagulation use and without anticoagulation. Methods : A retrospective study of patients who underwent craniotomy or craniectomy for acute traumatic cerebral hemorrhage, between January 2005 and December 2014 was performed. Results : A consecutive series of 50 patients were evaluated. The factors significantly differed between the two groups were initial Prothrombin Time-International Normalized Ratio, initial platelet count, initial Glasgow Coma Scale score, and postoperative intracranial bleeding. Mean Glasgow Outcome Scale (GOS) score were similar between the two groups. In the patient with low-energy trauma only, no significant differences in GOS score, postoperative bleeding and many other factors were observed. The contributing factors to postoperative bleeding was preinjury anticoagulation and its adjusted odds ratio was 12 [adjusted odds ratio (OR), 12.242; p=0.0070]. The contributing factors to low GOS scores, which mean unfavorable neurological outcomes, were age (adjusted OR, 1.073; p=0.039) and Rotterdam scale score for CT scans (adjusted OR, 3.123; p=0.0020). Conclusion : Preinjury anticoagulation therapy contributed significantly to the occurrence of postoperative bleeding. However, preinjury anticoagulation therapy in the patients with low-energy trauma did not contribute to the poor clinical outcomes or total hospital stay. Careful attention should be given to older patients and severity of hemorrhage on initial brain CT.

일부 대학생들의 칫솔질 시 치은출혈 관련요인 (Factors associated with gingival bleeding by tooth brushing in college students)

  • 조명숙
    • 한국치위생학회지
    • /
    • 제14권6호
    • /
    • pp.921-926
    • /
    • 2014
  • Objectives: The purpose of the study is to investigate the factors associated with gingival bleeding(GB) by tooth brushing in college students. Methods: A self-reported questionnaire was filled out by 232 college students in Daegu Health College from March to June, 2014. Data were analyzed for frequency, chi square test, and logistic regression analysis using SPSS 12.0 program. The study was a cross sectional study. The questionnaire consisted of general characteristics of the subjects(gender, age, marital status, and smoking), frequency and duration of tooth brushing, scaling experience, and physical health status. Self-reporting hemorrhage was reported by yes or no. Frequency of tooth brushing was documented as the number of behavior. Above 4 times of tooth brushing was defined as 4. Duration of tooth brushing was documented as minute. Above 4 minutes, it was recorded as 4. In physical health status, 1 is feeling weak and 4 is feeling very healthy. Cronbach alpha was 0.82 in the study. Results: There were significant relationships between gingival bleeding and age(p<0.05), subjective health(p<0.01), tooth brushing frequency(p<0.05) and duration(p<0.05) by chi square test. Logistic regression analysis showed that the age(p<0.05), subjective health(p<0.01), tooth brushing frequency(p<0.05) and duration(p<0.05) were associated with gingival bleeding. Prevalence of gingival bleeding in 20 years was 0.62(odds ratio 1.85, 95% CI 1.00~3.43) and it was higher than that in 10 years. Prevalence of gingival bleeding in good health group was -1.38 and it was lower than that in poor health group. Conclusions: The factors associated with gingival bleeding were age, subjective health, and tooth brushing frequency and time.

Modelling the performance of self-compacting SIFCON of cement slurries using genetic programming technique

  • Cevik, Abdulkadir;Sonebi, Mohammed
    • Computers and Concrete
    • /
    • 제5권5호
    • /
    • pp.475-490
    • /
    • 2008
  • The paper explores the potential of applicability of Genetic programming approach (GP), adopted in this investigation, to model the combined effects of five independent variables to predict the mini-slump, the plate cohesion meter, the induced bleeding test, the J-fiber penetration value, and the compressive strength at 7 and 28 days of self-compacting slurry infiltrated fiber concrete (SIFCON). The variables investigated were the proportions of limestone powder (LSP) and sand, the dosage rates of superplasticiser (SP) and viscosity modifying agent (VMA), and water-to-binder ratio (W/B). Twenty eight mixtures were made with 10-50% LSP as replacement of cement, 0.02-0.06% VMA by mass of cement, 0.6-1.2% SP and 50-150% sand (% mass of binder) and 0.42-0.48 W/B. The proposed genetic models of the self-compacting SIFCON offer useful modelling approach regarding the mix optimisation in predicting the fluidity, the cohesion, the bleeding, the penetration, and the compressive strength.

와파린(Warfarin) 투여 환자의 치과 치료 (Management of Dental Patients taking Warfarin)

  • 박관수
    • 대한치과의사협회지
    • /
    • 제57권10호
    • /
    • pp.623-628
    • /
    • 2019
  • Warfarin is an anticoagulant involved in the production of vitamin K dependent blood clotting factors. Dentists should be familiar with the appropriate assessment methods and considerations for the treatment of patients taking warfarin. Dental surgery with the moderate risk of bleeding can be performed without stopping the drug through preoperative examination of the INR(international normalized ratio) value and evaluation. When performing a surgery with a high risk of bleeding, it is necessary to evaluate whether the drug can be discontinued, what the duration is, and the risk of discontinuation. Hemostasis can be obtained by local methods in most cases of postoperative bleeding in patients taking appropriately adjusted doses of warfarin.

  • PDF

시멘트 종류 및 잔골재 시멘트 비율이 PSC 구조물용 그라우트의 기본 물성에 미치는 영향 (Effects of cement type and sand to cement ratio on the properties of PSC grout)

  • 박기준;문도영
    • 한국산학기술학회논문지
    • /
    • 제15권7호
    • /
    • pp.4644-4652
    • /
    • 2014
  • 본 연구는 시멘트 종류와 잔골재 시멘트 비율(S/C)이 PSC 구조물용 그라우트의 기본 물성에 미치는 영향을 조사하였다. 시멘트는 1종 (보통) 시멘트와 3종 (조강) 시멘트를 사용하였고, S/C를 0.5, 1.0 그리고 1.5로 변화하여 그 영향을 평가하였다. 1종 시멘트의 사용 시 모든 S/C에서 3시간과 20시간이 지났을 때 다수의 블리딩이 발생하였다. 반면에 3종 시멘트의 사용 시, 블리딩이 현저히 줄어들었지만 유동성이 낮아지는 문제점이 발생하였다. 또한, 고성능감수제의 종류를 나프탈렌계와 폴리칼본산계 두 종류를 비교한 결과 3종 시멘트를 사용한 경우의 저하된 유동성 문제를 폴리칼본산계 고성능감수제의 사용으로 해결할 수 있었다.