• Title/Summary/Keyword: Coagulation control

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Epidural Hematoma Following Continuous Epidural Analgesia in Patient Receiving Anticoagulant Therapy -A case report- (항응고제 사용 환자에서 지속적 경막외 제통술후 발생한 경막외 혈종 1예 -증례 보고-)

  • Yoo, Kyung-Yeon;Im, Woong-Mo;Park, Joon-Seo
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.271-274
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    • 1996
  • Epidural hematoma during anticoagulant therapy is a rare complication of central neural blockade, but it may result in serious neurologic sequelae. A 61-year-old male receiving warfarin due to heart failure was referred to the pain clinic for control of severe herpetic neuralgia. Epidural catheterization was done at $T_{8-9}$ interspace. At that time, PT and aPTT were extremely prolonged. The next morning, severe back pain, motor paralysis and urinary difficulty developed. On spine MRI, epidural hematoma was detected at $T_{8-9}$ interspace. Four days later, he died due to underlying diseases. Central neural blockade in patient with anticoagulant therapy is contraindicated in most cases. If is undertaken, close observation of patients's neurologic functions and monitoring of coagulation profiles(PT, aPTT, etc) are necessary. If epidural hematoma develops, early surgical decompression is mandatory.

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Anticoagulant Activity of Gleditsiae Spina Extract (조각자(皂角刺)추출물의 항응혈 활성)

  • Yoo, Ji-Hyun;Jung, Bung-Tea;Kil, Gi-Jung
    • The Korea Journal of Herbology
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    • v.25 no.1
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    • pp.39-43
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    • 2010
  • Objectives : This research was investigated the anticoagulant effect of the Gleditsiae spina extract. Methods : We researched prothrombin time (PT) assay, activated partial thromboplastin time (APTT) assay in vitro and in vivo using arteriovenous (A-V) shunt rat model and shortening Rat tail bleeding time (BT). A-V shunt and BT were treated with extract of Gleditsiae spina (GS) 400 mg/kg for a week. Results : Bleeding time of Gleditsiae spina extract in vivo had a significant increase as about 1.2 times and thrombus weight of Gleditsiae spina extract had a significant reduction of thrombus weight as 26%. Gleditsiae spina extract represented an effect of anticoagulation by operating on extrinsic pathway factor II, V, VII, X and intrinsic pathway factor VIII, IX, X, XI, XII in the coagulation system. Conclusions : Considering the above mentioned results, it is judged that a Gleditsiae Spina extract has a control effect of thrombus creation.

The Effects of pH and Dosages According to Qualities of Raw Waters and Basicity of Coagulants (원수 수질특성과 응집제 염기도에 따른 응집 pH 및 주입량의 영향)

  • Park, Noh-Back;Lee, Bum;Tian, Dong-Jie;Lee, Young-Ju;Jun, Hang-Bae
    • Journal of Korean Society of Water and Wastewater
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    • v.24 no.5
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    • pp.581-593
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    • 2010
  • The objectives of this study were to investigate the effects of raw water pH and basicity of coagulants on turbidity removal with several raw waters having different level of turbidity, alkalinity and pH. Raw waters were sampled from M, S and B water treatment plants(WTP) located at Miryang, Nakdong, Han river, respectively. Six coagulants which have different levels of basicity and aluminum contents were used for this evaluation. High basicity of the coagulant helped to properly control coagulation processes for treating turbid and low alkali raw water. It was difficult for operators to determine optimum coagulant dose for high basicity coagulants, since residual turbidity tended to decrease continuously as coagulant dose increased. Turbidity removal efficiencies with high basicity coagulants(E and F) were higher than the other coagulants at ambient pH for the M WTP. Turbidity removal efficiencies, however, at adjusted pH 7.0 showed similar among six coagulants. Residual turbidity kept low at excess dosages with high basicity coagulants. Optimum coagulant dosages at adjusted pH 7.0 showed higher than those at ambient pH in M WTP. On the contrary in B WTP, optimum coagulant dosage at ambient pH were higher than that at adjusted pH 7.0.

A Study on the Opimization of Process and Operation Condition for Membrane System in Tap Water Treatment (분리막을 이용한 정수처리 System에서 처리공정 및 운전조건의 최적화에 관한연구)

  • 오중교
    • Membrane Journal
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    • v.9 no.4
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    • pp.193-201
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    • 1999
  • The object of study were the development of membrane process and the optimization of operation condition for membrane system, which was used the pre-treatment system of tap water treatment in steady of conventional process such as coagulation, sedimentation. The higher steady flux is very important factor, by a suitable pre-treatment and optimization of operating condition such as fouling control, crossflow and backwashing method, in membrane system. So, we were observed the effect of flux decline for membrane used by 4 type ultrafiltration(UF) membrane pre-treatment process, and optimized the operation condition of filtration system under various MWCO(Molecular weight cut-off), operation pressure, linear velocity and temperature to maintain higher flux. From these experiment, we were identified that UF process showed a slower flux decline rate and a higher flux recovery than microfiltration(MF) membrane. The water quality of UF permeate was better than that of MF, and was not effected pre-treatment process. In the operation condition, the rate of flux decline was diminished by a higher linear velocity and operation temperature, lower pressure.

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Treatment of Dye-Processing Wastewater by Chemical Precipitation (화학적 침전공정에 의한 염색가공폐수의 처리)

  • Han, Myung-Ho;Huh, Man-Woo;Kim, Jeong-Mog;Lee, Jin-Sik;Lim, Hak-Sang
    • Textile Coloration and Finishing
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    • v.9 no.6
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    • pp.26-32
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    • 1997
  • In order to remove the pollutants effectively in the dye-processing wastewater by chemical precipitation, coagulation and flocculation test was carried out using several coagulants on various reaction conditions. It was found that the Ferric sulfate was best coagulant for the treatment of mixed dye-processing wastewater. When the Ferric sulfate dosage was 1,100mg/$\ell$, the COD removal rate was very high(50%), and the color was removed very effectively. The COD was decreased relatively well up to 40%, when Alum was dosed as coagulant. But it was difficult to remove the color effectively. Test results about COD removal for the Ferrous sulfate and the Ferric chloride used were mostly same as those of the Alum used. However, the color removal by the Ferrous sulfate was much better than the case of the Alum or the Ferric chloride. It was found that the COD removal was increased and the sludge yield was decreased by pH control before polymer flocculant addition, during the jar test for the Ferrous sulfate and the Ferric sulfate as a coagulant.

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Epistaxis in dental and maxillofacial practice: a comprehensive review

  • Psillas, George;Dimas, Grigorios Georgios;Papaioannou, Despoina;Savopoulos, Christos;Constantinidis, Jiannis
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.48 no.1
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    • pp.13-20
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    • 2022
  • The lifetime incidence of epistaxis in dental and maxillofacial practice has been reported to be as high as 60% and can be caused by dental implant placement, Le Fort I osteotomy, intranasal supernumerary tooth, odontogenic tumors, blood disorders and maxillofacial trauma. Most epistaxis cases are minor and easily managed with direct compression on the nares for 10 minutes. For more significant or recurrent epistaxis, other techniques might include electrocautery, anterior or posterior nasal packing, or Foley catheter balloon. For patients with refractory epistaxis, cauterization of the sphenopalatine artery under endonasal endoscopy or embolization of the internal maxillary artery should be performed. Epistaxis control is required in patients diagnosed with inherited or acquired bleeding disorders or with drug-induced coagulopathies during dental procedures. In these cases, hemostatic system adjustment and hemostasis achieved by local and adjunctive methods are required. Dentists and maxillofacial surgeons must be aware that the nasal cavity is a potential source of perioperative hemorrhage. Depending on the invasiveness of the dental intervention, preoperative involvement of the hematologist and cardiologist is usually necessary to reverse anticoagulation or to cease anticoagulant therapy.

Respiratory Protection for LASER Users

  • Lee, Sang Joon;Chung, Phil-Sang;Chung, Sang Yong;Woo, Seung Hoon
    • Medical Lasers
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    • v.8 no.2
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    • pp.43-49
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    • 2019
  • The plume produced by vaporizing tissue with a laser contains a variety of contaminants called laser-generated air pollutants (LGACs). LGACs consist of a mixture of toxic gas components, biomicroparticles, dead and living cells, and viruses. Toxic odors and thick smoke from surgical incisions and the coagulation of tissues can irritate eyes and airways, as well as cause bronchial and pulmonary congestion. Because of the potential risk of the smoke, it is advisable to appropriately remove it from the surgical site. We recommend using a smoke evacuator to remove the smoke. Suction nozzles should be placed as close as possible to the surgical site in a range of 2 cm or less. In-line filters should be used between the inlet and outlet of the surgical site. All air filtration devices should be capable of removing particles below 0.1 microns in size. The filter pack should be handled according to infection control procedures in the operating room. The laser mask can be an auxiliary protective device if it is properly worn. Some smoke inhaled under the nose wrap or over the side of the mask will not be filtered. As in electrosurgical operations, a suitable mask should be worn while smoke is present.

Functional Properties of Sulfated Polysaccharides in Ascidian(Halocynthia roretzs) Tunic (우렁쉥이 껍질 중 황산화다당의 기능적 특성)

  • LEE Kang-Ho;CHOI Byeong-Dae;HONG Byeong-Il;JUNG Byung-Chun;RUCK Ji-Hee;JUNG Woo-Jin
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.31 no.3
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    • pp.447-451
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    • 1998
  • Functional properties such as anti-blood coagulation, angiotensin converting enzyme (ACE) inhibitory activity, fat binding capacity, foaming properties, emulsifying properties and chemical components of sulfated polysaccharides isolated from ascidian tunics were investigated. The sulfated polysaccharide mainly consisted of sulfate, uronic acid, protein, and chondroitin sulfate, among which chondroitin sulfate showed higher concentration while sulfate and uronic acid did lower. Compositional menosaccharides were arabinose, xylose, glucose, galactose, glucuronic acid, N-acetylgalactosamine and N-acetyglucosamine. Especially, galactose content was dominant among them. And emulsifiability and foaminess of the sulfated polysaccharide was higher than the control group. Anti-blood coagulation of sulfated polysaccharide showed with respect to APTT (Activated partial thromboplastin time). ACE inhibitory activity showed about $16.7\%$.

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Removal of Herbicide Molinate during treatment Processes for Drinking Water (상수처리과정 중 제초제 molinate의 제거)

  • Park, Ju-Hwang;Park, Jong-Woo;Kim, Jong-Soo;Kim, Jang-Eok
    • Applied Biological Chemistry
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    • v.45 no.3
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    • pp.145-151
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    • 2002
  • Molinate, a thiolcarbamate herbicide widely used for control weeds in paddy soil, has been suspected for a possibile transportation into surface water due to its relatively high solubility in water. This study was performed to know that how much molinate could be removed during treatment processes for drinking water. The removal effciency of molinate in water was negligible in treatment process of polyaluminium chloride for coagulation. Molinate was gradually decreased up to 60.2% during contact time of 4 hours when chloride, an disinfectant used in water treatment system was treated. And in an hour treatment of ozone, molinate removal ranged $28.9%{\sim}58%$ However by treatment system of granular activated carbon, molinate was removed 93.9 to 100% at all concentrations used with a range of concentrations of granular activated carbon treated. The removal effciency of whole system simulated with removal efficiencies of molinate in each step of treatment processes was 99.5%. Therefore, if molinate happen to come into water treatment facilities, it could be removed effectively through the treatment processes.

Analysis of the Coagulation Factors of Donated Plasma for Effective Utilization (헌혈혈장의 효율적 활용을 위한 혈액응고인자 활성도 분석)

  • Jee, Yong-Hun;Kim, Myung-Han;Kwon, So-Yong;Cho, Nam-Sun;Cho, Youn-Jung;Choi, Kyoung-Young
    • The Korean Journal of Blood Transfusion
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    • v.23 no.2
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    • pp.145-151
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    • 2012
  • 배경: 채혈 후 제제 경과시간에 따른 동결혈장의 혈액응고인자의 활성도와 이에 영향을 미치는 요인을 분석하여, 혈액응고인자제제의 원료혈장의 사용범위를 확장 가능한지 확인하고자 동결혈장의 채혈시간과 응고인자 특성을 측정하였다. 방법: ALT 부적격 혈장을 채혈 후 동결시간의 특성에 따라 4단계로 구분하였고, 6종류의 혈액 응고인자 활성도와 혈액형을 검사하였고, SAS 9.2 프로그램을 사용하여 통계처리 하였다. 결과: 혈액제제간 FVIII 활성도를 분석한 결과 PL-A>FFP>FP(8-24)${\approx}$FP(24-72) 순으로 유의하게 낮아졌고 혈액형에 따라서는 AB형이 제일 높고, O형이 제일 낮았다. 대한적십자사의 원료혈장에 대한 FVIII 활성 품질기준을 적용할 경우 PL-A, FFP와 FP24는 각각 85.0%와 82.5%로 적합하였다. 캐나다 퀘백 주처럼 FP24의 FVIII 활성이 0.52 IU/mL 이상을 적용할 경우 PL-A, FFP와 FP24는 각각 95.0%, 96.3%, 82.6%로 적합하였다. 또한 FP(8-24)의 A형과 AB형, FP(24-72)의 경우 AB형이 각각 82.1%, 83.3%, 100%로 적합하였다. 결론: 혈액응고인자제제용 원료혈장의 범위는 외국의 기준에 비추어 채혈 후 24시간 내에 동결된 혈장(FP24)으로 확대 사용이 가능하다. 이를 위해서는 채혈 후 동결시간과 혈액응고인자에 대한 품질기준을 유럽약전 또는 WHO 가이드라인과 비교하여 완화하는 것이 필요하다.