• Title/Summary/Keyword: Coagulation factors

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Theory of Coagulation(II) -The (Relative) Insignificance of G in Flocculation- (응집의 이론(II) -플록형성에서의 G값의 의의-)

  • Han, Moo Young
    • Journal of Korean Society of Water and Wastewater
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    • v.9 no.4
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    • pp.63-72
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    • 1995
  • The mean velocity gradient, G, has been used as a principal design and operation parameter for flocculation unit. This paper questions that significance. The physical and qualitative meaning of collision efficiency factors of each transport mechanism (Brownian motion, fluid shear, and differential sedimentation) are reviewed. The overall collision frequency function is calculated by summing up the collision frequency function of each mechanism. In the collision of two particles of different size, a diagram showing the dominant region in which each mechanism is important is developed and the meaning of the diagram is discussed. The primary ramification of this curvilinear, heterodisperse approach is that G is found to be not nearly so important. Previous experimental work in which the role of G has been examined is reviewed in light of this finding.

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Clinical Experiences of Multiple Organ Failure after Surgery for Acquired Cardiovascular Disease

  • 김병열
    • Journal of Chest Surgery
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    • v.23 no.2
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    • pp.275-284
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    • 1990
  • A serious problem after cardiovascular surgery known as Multiple Organ Failure[MOF] whereby several vital organs successively demonstrate dysfunction in spite of intensive postoperative treatment has recently arisen. We have made a retrospective study of the clinical records of 137 patients who underwent cardiovascular surgery during past two years [1987-1988]. Fourteen patients [10%] developed multi-organ failure postoperatively with the results of seven death [50%]. In fatal group, preoperative poor cardiac function [Cardiac Index<2.0L/min/m2] was considered important prognostic factor and infection 5 disseminated intravascular coagulation complicating gastrointestinal bleeding were the leading cause of death. In conclusion, evaluation of multiple factors concerning multi-organ failure demonstrates preoperative poor functional preservation of vital organs is the main factor. So early diagnosis k management for each of the failing organs & prevention of infection are mandatory of the treatment of these critically ill patients.

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TOOTH EXTRACTION USING REPLACEMENT THERAPY AND SURGICAL SPLINT IN HEMOPHILIAC PATIENT (응고인자 투여와 surgical splint를 이용한 혈우병 환자의 발치 치험례)

  • Lee, Jae-Mun;Nam, Soon-Hyeon;Kim, Young-Jin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.23 no.3
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    • pp.575-581
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    • 1996
  • Hemophilia is a hereditary condition in which one of the normal blood clotting factors is absent. This sex-linked, recessive disease, transmitted by the female and expressed in some of her male offspring, is characterized by significantly delayed coagulation times and by the tendency to hemorrhage. On the dental treatment especially, surgical procedure, appropriate methods of hemorrhage control are required. These methods are replacement therapy, antifibrinolytic agents, and local hemostatic methods. In this case, we successfully extract residual roots of hemophiliac patient without eccessive post operative bleeding using replacement therapy and surgical splint.

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Endoscopic Treatment of Hypothalamic Hamartomas

  • Shim, Kyu Won;Park, Eun Kyung;Kim, Dong-Seok
    • Journal of Korean Neurosurgical Society
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    • v.60 no.3
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    • pp.294-300
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    • 2017
  • Hypothalamic hamartoma (HH) is a benign indolent lesion despite the presentation of refractory epilepsy. Behavioral disturbances and endocrine problems are additional critical symptoms that arise along with HHs. Due to its nature of generating epileptiform discharge and spreading to cortical region, various management strategies have been proposed and combined. Surgical approaches with open craniotomy or endoscopy, stereotactic approaches with radiosurgery and gamma knife surgery or radiofrequency thermos-coagulation, and laser ablation have been introduced. Topographical dimension and the surgeon's preference are key factors for treatment modalities. Endoscopic disconnection has been one of the most favorable options performed in treating HHs. Here we discuss presurgical evaluation, patient selection, surgical procedures, and complications.

Effects of pH, Alkalinity, Chloride Ion on the Copper Pipe Corrosion (동관에서 pH, 알칼리도, 염소이온이 부식에 미치는 영향)

  • Jo, Kwan-Hyung;Kim, Sun-Il;Woo, Dal-Sik
    • Journal of Environmental Health Sciences
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    • v.33 no.1 s.94
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    • pp.43-48
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    • 2007
  • This study investigated the effects of pH, alkalinity, and chlorine ion which are important water quality impact factors to the corrosion in the simulated distribution system where the copper pipe is affixed. The result shows that pitting index was increased as the alkalinity and chloride ion increase in the distilled water, but there was no relation to pH. Actually the uniform corrosion rate was decreased as the pH increase with the laboratory tap water. In conclusion, it is necessary to control the pH which stands above minimum 7.5 to prevent pitting corrosion in the copper pipe. Consequently, comprehensive research about the effect of lime soda($Ca(OH)_2$) which was used as a coagulation additive in the water treatment plant to pipe corrosion must be accomplished additionally.

Bacteria and Fungi as Alternatives for Remediation of Water Resources Polluting Heavy Metals

  • Joo, Jin-Ho;Hussein, Khalid A.;Hassan, Sedky H.A.
    • Korean Journal of Soil Science and Fertilizer
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    • v.44 no.4
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    • pp.600-614
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    • 2011
  • Classical methods which used for removal of heavy metals from contaminated water are adsorption, precipitation, coagulation, ion exchange resin, evaporation, and membrane processes. Microbial biosorption can be used for the removal of contaminated waters with pollutants such as heavy metals and dyes which are not easily biodegradable. Microbial biosorbents are inexpensive, eco friendly and more effective for the removal of toxic metals from aqueous solution. In this review, the bacterial and fungal abilities for heavy metals ions removal are emphasized. Environmental factors which affect biosorption process are also discussed. A detailed description for the most common isotherm and kinetic models are presented. This article reviews the achievements and the current status of bacterial and fungal biosorption technology for heavy metals removal and provides insights for further researches.

Risk Factors Associated with Difficult Reversal of Heparin by Protamine Sulfate in Cardiopulmonary Bypass: An Ignored Issue

  • Ku, Min Jung;Kim, Su Wan;Lee, Seogjae;Chang, Jee Won;Lee, Jonggeun
    • Journal of Chest Surgery
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    • v.53 no.5
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    • pp.258-262
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    • 2020
  • Background: The aim of this study was to evaluate risk factors associated with difficult heparin reversal by protamine after cardiopulmonary bypass. Methods: Data from 120 consecutive patients who underwent open heart surgery from 2009 to 2017 were retrospectively reviewed. Patients were divided into 2 groups: (1) those in whom complete heparin reversal was achieved after a single infusion of protamine (group A, n=89); and (2) those who required more protamine for heparin reversal (group B, n=31). Results: Female sex, prolonged bypass time (>200 min), long aortic cross-clamping time (>120 min), and a lowest rectal temperature <26℃ were significant predictors of difficult heparin reversal. Larger amounts of fresh frozen plasma and platelet concentrate were transfused in group B than in group A. Conclusion: Surgeons' efforts to reduce operative time and avoid deep hypothermia may be helpful for increasing the likelihood of easy heparin reversal, especially in female patients.

A Study on the Factors to Minimize the Residual Aluminum in Filtered Water (정수처리시 잔류알루미늄 농도를 최소화하기 위한 영향인자 고찰)

  • 고영송;우달식;남상호
    • Journal of Environmental Health Sciences
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    • v.19 no.2
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    • pp.1-9
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    • 1993
  • In public water supply systems, Alum and/or PAC being used as a coagulant. It is well known that their use increased frequently the concentration of residual aluminum in filtered water upon operating conditions. This study was conducted to find the optimum conditions that both the concentration of residual aluminum and turbidity are minimized by changing such factors as pH, temperature, alum dosage, mixing rate, alkalinity and hardness. The results can be summarized as follows: The pH values for the minimum concentration of residual aluminum and turbidity as a given experimental condition were found at pH 6 and pH 7 respectively, the apparent clarity was best at pH 8. The floc settling rate was the greatest at pH 6.5, but the turbidity was high at the same condition. The more alum dosage, the higher the concentration of residual aluminum. However the alum dosage less than 15 mg/l tend to decrease in turbidity. Restabilization and enmeshment occurred near 15 mg/l and 20 mg/l of alum dose respectively. With the increase of mixing rate (rapid and slow), the concentration of residual aluminum and turbidity are increased and the same trend was found in increment of mixing time. At low water temperature, the concentration of residual aluminum was decreased, but turbidity was increased. It was confirmed that alkalinity had an effect on the coagulation efficiency, but hardness did not.

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Genome-Wide Association Study Identifies Candidate Loci Associated with Platelet Count in Koreans

  • Oh, Ji Hee;Kim, Yun Kyoung;Moon, Sanghoon;Kim, Young Jin;Kim, Bong-Jo
    • Genomics & Informatics
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    • v.12 no.4
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    • pp.225-230
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    • 2014
  • Platelets are derived from the fragments that are formed from the cytoplasm of bone marrow megakaryocytes-small irregularly shaped anuclear cells. Platelets respond to vascular damage, contracts blood vessels, and attaches to the damaged region, thereby stopping bleeding, together with the action of blood coagulation factors. Platelet activation is known to affect genes associated with vascular risk factors, as well as with arteriosclerosis and myocardial infarction. Here, we performed a genome-wide association study with 352,228 single-nucleotide polymorphisms typed in 8,842 subjects of the Korea Association Resource (KARE) project and replicated the results in 7,861 subjects from an independent population. We identified genetic associations between platelet count and common variants nearby chromosome 4p16.1 ($p=1.46{\times}10^{10}$, in the KIAA0232 gene), 6p21 ($p=1.36{\times}10^{-7}$, in the BAK1 gene), and 12q24.12 ($p=1.11{\times}10^{-15}$, in the SH2B3 gene). Our results illustrate the value of large-scale discovery and a focus for several novel research avenues.

C-Reactive Protein a Promising Biomarker of COVID-19 Severity

  • Fazal, Muntaha
    • Korean Journal of Clinical Laboratory Science
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    • v.53 no.3
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    • pp.201-207
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    • 2021
  • The 2019 coronavirus outbreak poses a threat to scientific, societal, financial, and health resources. The complex pathogenesis of severe acute respiratory syndrome coronavirus centers on the unpredictable clinical progression of the disease, which may evolve abruptly and result in critical and life-threatening clinical complications. Effective clinical laboratory biomarkers that can classify patients according to risk are essential for ensuring timely treatment, and an analysis of recently published studies found cytokine storm and coagulation disorders were leading factors of severe COVID-19 complications. The following inflammatory, biochemical, and hematology biomarkers markers have been identified in COVID-19 patients; neutrophil to lymphocyte ratio, c-reactive protein, procalcitonin, urea, liver enzymes, lactate dehydrogenase, serum amyloid A, cytokines, d-dimer, fibrinogen, ferritin, troponin, creatinine kinase, and lymphocyte, leukocyte, and platelet counts. These factors are predictors of disease severity and some are involved in the pathogenesis of COVID-19. CRP is an acute-phase, non-specific serological biomarker of inflammation and infection and is related to disease severities and outcomes. In the present study, CRP levels were found to rise dramatically among COVID-19 patients, and our findings suggest CRP could be utilized clinically to predict COVID-19 prognosis and severity even before disease progression and the manifestation of clinical symptoms.