• Title/Summary/Keyword: Current Bleeding

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Review of Genetic Diagnostic Approaches for Glanzmann Thrombasthenia in Korea

  • Shim, Ye Jee
    • Journal of Interdisciplinary Genomics
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    • v.3 no.2
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    • pp.41-46
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    • 2021
  • Inherited platelet function disorders (IPFDs) are a disease group of heterogeneous bleeding disorders associated with congenital defects of platelet functions. Normal platelets essential role for primary hemostasis by adhesion, activation, secretion of granules, aggregation, and procoagulant activity of platelets. The accurate diagnosis of IPFDs is challenging due to unavailability of important testing methods, including light transmission aggregometry and flow cytometry, in several medical centers in Korea. Among several IPFDs, Glanzmann thrombasthenia (GT) is a most representative IPFD and is relatively frequently found compare to the other types of rarer IPFDs. GT is an autosomal recessive disorder caused by mutations of ITGA2B or ITGB3. There are quantitative or qualitative defects of the GPIIb/IIIa complex in platelet, which is the binding receptor for fibrinogen, von Willbrand factor, and fibronectin in GT patients. Therefore, patients with GT have normal platelet count and normal platelet morphology, but they have severely decreased platelet aggregation. Thus, GT patients have a very severe hemorrhagic phenotypes that begins at a very early age and persists throughout life. In this article, the general contents about platelet functions and respective IPFDs, the overall contents of GT, and the current status of genetic diagnosis of GT in Korea will be reviewed.

Efficacy of electrical neuromuscular stimulation in the treatment of chronic periodontitis

  • Puhar, Ivan;Kapudija, Amalija;Kasaj, Adrian;Willershausen, Brita;Zafiropoulos, Gregory-George;Bosnjak, Andrija;Plancak, Darije
    • Journal of Periodontal and Implant Science
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    • v.41 no.3
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    • pp.117-122
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    • 2011
  • Purpose: The purpose of the present randomized controlled clinical study was to evaluate the short-term outcomes of micro-current electrical neuromuscular stimulation (MENS) as an adjunct method to nonsurgical periodontal therapy. Methods: Twenty patients with moderate to severe chronic periodontitis were recruited into the study and randomly treated with either nonsurgical periodontal therapy followed by 5 MENS treatments with a micro current device or by nonsurgical periodontal therapy alone. Periodontal parameters were measured at baseline and 6 weeks following therapy, and included the plaque index, bleeding on probing, probing depth, and clinical attachment level (CAL). Results: All measured values were reduced at the time of re-evaluation. The amount of inflammation was significantly reduced in both the test (P=0.002) and control group (P=0.015). The test group demonstrated a significant CAL gain at 6 weeks following therapy, including non-molar (P=0.009) and molar teeth (P=0.028). In comparison with the control group, the test group showed statistically significant differences in the CAL on both molar (P=0.027) and non-molar teeth (P=0.031). Conclusions: In conclusion, the short-term results of the study indicate that MENS could be a suitable adjunctive method in the treatment of chronic periodontitis.

Should Cerebral Angiography Be Avoided within Three Hours after Subarachnoid Hemorrhage?

  • An, Hong;Park, Jaechan;Kang, Dong-Hun;Son, Wonsoo;Lee, Young-Sup;Kwak, Youngseok;Ohk, Boram
    • Journal of Korean Neurosurgical Society
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    • v.62 no.5
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    • pp.526-535
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    • 2019
  • Objective : While the risk of aneurysmal rebleeding induced by catheter cerebral angiography is a serious concern and can delay angiography for a few hours after a subarachnoid hemorrhage (SAH), current angiographic technology and techniques have been much improved. Therefore, this study investigated the risk of aneurysmal rebleeding when using a recent angiographic technique immediately after SAH. Methods : Patients with acute SAH underwent immediate catheter angiography on admission. A four-vessel examination was conducted using a biplane digital subtraction angiography (DSA) system that applied a low injection rate and small volume of a diluted contrast, along with appropriate control of hypertension. Intra-angiographic aneurysmal rebleeding was diagnosed in cases of extravasation of the contrast medium during angiography or increased intracranial bleeding evident in flat-panel detector computed tomography scans. Results : In-hospital recurrent hemorrhages before definitive treatment to obliterate the ruptured aneurysm occurred in 11 of 266 patients (4.1%). Following a univariate analysis, a multivariate analysis using a logistic regression analysis revealed that modified Fisher grade 4 was a statistically significant risk factor for an in-hospital recurrent hemorrhage (p=0.032). Cerebral angiography after SAH was performed on 88 patients ${\leq}3$ hours, 74 patients between 3-6 hours, and 104 patients >6 hours. None of the time intervals showed any cases of intra-angiographic rebleeding. Moreover, even though the DSA ${\leq}3$ hours group included more patients with a poor clinical grade and modified Fisher grade 4, no case of aneurysmal rebleeding occurred during erebral angiography. Conclusion : Despite the high risk of aneurysmal rebleeding within a few hours after SAH, emergency cerebral angiography after SAH can be acceptable without increasing the risk of intra-angiographic rebleeding when using current angiographic techniques and equipment.

Periodontal inflamed surface area as a novel numerical variable describing periodontal conditions

  • Park, Shin-Young;Ahn, Soyeon;Lee, Jung-Tae;Yun, Pil-Young;Lee, Yun Jong;Lee, Joo Youn;Song, Yeong Wook;Chang, Yoon-Seok;Lee, Hyo-Jung
    • Journal of Periodontal and Implant Science
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    • v.47 no.5
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    • pp.328-338
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    • 2017
  • Purpose: Chronic periodontitis is an inflammatory disease induced by pathogenic bacterial accumulation. A novel index, the periodontal inflamed surface area (PISA), represents the sum of the periodontal pocket depth of bleeding on probing (BOP)-positive sites. It is advantageous for data processing and analysis because it can be treated as a continuous variable to quantify periodontal inflammation. In the present study, we evaluated correlations between PISA and periodontal classifications, and examined PISA as an index integrating the discrete conventional periodontal indexes. Methods: This study was a cross-sectional subgroup analysis of data from a prospective cohort study investigating the association between chronic periodontitis and the clinical features of ankylosing spondylitis. Data from 84 patients without systemic diseases (the control group in the previous study) were analyzed in the present study. Results: PISA values were positively correlated with conventional periodontal classifications (Spearman correlation coefficient=0.52; P<0.01) and with periodontal indexes, such as BOP and the plaque index (PI) (r=0.94; P<0.01 and r=0.60; P<0.01, respectively; Pearson correlation test). Porphyromonas gingivalis expression and the presence of serum P. gingivalis antibodies were significant factors affecting PISA values in a simple linear regression analysis, together with periodontal classification, PI, bleeding index, and smoking, but not in the multivariate analysis. In the multivariate linear regression analysis, PISA values were positively correlated with the quantity of current smoking, PI, and severity of periodontal disease. Conclusions: PISA integrates multiple periodontal indexes, such as probing pocket depth, BOP, and PI into a numerical variable. PISA is advantageous for quantifying periodontal inflammation and plaque accumulation.

Material Characteristic of POFA Concrete and Its Application to Corrosion Resistance Evaluation (POFA 콘크리트의 재료특성 및 부식 저항성 평가로의 적용)

  • Lee, Chang-Hong;Song, Ha-Won;Ann, Ki-Yong;Ismail, Mohamed Abdel
    • Journal of the Korea Concrete Institute
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    • v.21 no.5
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    • pp.565-572
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    • 2009
  • In this study, corrosion resistance of palm oil fuel ash (POFA) concrete as a blended concrete is evaluated by using electrochemical technique. The POFA is an industrial byproduct obtained from fuel ash after extracting palm oil from palm-tree. In order to obtain basic material characteristics of the POFA concrete, tests on compressive strength, slump, weight loss, bleeding and expansion ratio were carried out the early-aged POFA concrete. On the other hand, durability characteristics, both chloride penetration and carbonation depth test, were also conducted. Finally, corrosion resistance were evaluated by applying electro-chemical artificial crack healing technique, and the tests on the impressed voltage characteristic, galvanic current and linear polarization resistance. From the experimental results, it was found that long-term strength, bleeding, lower slump ratio, expansion ratio, chloride penetration, carbonation and corrosion resistance were improved by using the POFA due to activated pozzolanic reaction. It can be also mentioned that POFA concrete has a potential to be used as a cementitious binder for green-recycling resources.

Special quality research about action output waveform change by gap (1.0mm and 1.6mm)difference of skin excessive expense $CO_2$ Laser (피부과용$CO_2$ 레이저의 공극(1.0mm및 1.6mm)차이에 따른 동작출력 파형변화에 관한 특성 연구)

  • Kim, Whi-Young
    • Journal of the Korea Computer Industry Society
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    • v.8 no.2
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    • pp.107-112
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    • 2007
  • Laser wave length can have evaporation effect by absorption because outer skin or tissue of focus is consisted of water almost though absorption of water occurs more than 90% almost in formation thickness of very thin floor. Can operate outer skin, steam by floor and correct incision of formation is available. Suture surgical operation is available to vein or lymph system and surgical operation region can dry and see as eye and radish bleeding surgical operation is available. Specially, stability of tube both end output about pulse by weight very, this research can cause various curative effect because can reduce bulk and control easily current wave style of medical laser using electric power conversion device of high frequency way. If introduce ZVS (Zero Voltage Switching) or ZVZCS (Zero Voltage and Zero Current Switching), is more profitable because can reduce switching damage. Because electric power department of proposed medical laser can do stable soft-switching in wide subordinate extent introducing ZVZCS technique by the first help and control department composes microcontroller, output current waveform user have free form make Result that experiment because design and manufacture, brought result that improve of 20% than existing equipment, and will be bought to get into superior result if supplement as systematic late.

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Design of the RF Front-end for L1/L2 Dual-Band GPS Receiver (L1/L2 이중-밴드 GPS 수신기용 RF 전단부 설계)

  • Kim, Hyeon-Deok;Oh, Tae-Soo;Jeon, Jae-Wan;Kim, Seong-Kyun;Kim, Byung-Sung
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.21 no.10
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    • pp.1169-1176
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    • 2010
  • The RF front-end for L1/L2 dual-band Global Positioning System(GPS) receiver is presented in this paper. The RF front-end(down-converter) using low IF architecture consists of a wideband low noise amplifier(LNA), a current mode logic(CML) frequency divider and a I/Q down-conversion mixer with a poly-phase filter for image rejection. The current bleeding technique is used in the LNA and mixer to obtain the high gain and solve the head-room problem. The common drain feedback is adopted for low noise amplifier to achieve the wideband input matching without inductors. The fabricated RF front-end using $0.18{\mu}m$ CMOS process shows a gain of 38 dB for L1 and 41 dB for L2 band. The measured IIP3 is -29 dBm in L1 band and -33 dBm in L2 band, The input return loss is less than -10 dB from 50 MHz to 3 GHz. The measured noise figure(NF) is 3.81 dB for L1 band and 3.71 dB for L2 band. The image rejection ratio is 36.5 dB. The chip size of RF front end is $1.2{\times}1.35mm^2$.

A Research of Trend on Japanese Medical Tourism in Oriental Hospital of Daejeon University (대전대학교 한방병원에 내원한 일본인 관광객의 의료관광 현황)

  • Kim, Min Jung;Sung, In Su;Song, In;Ko, Min Kyung;Hong, Kwon Eui
    • Journal of Acupuncture Research
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    • v.29 no.6
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    • pp.85-89
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    • 2012
  • Objectives : This study is to evaluate the current situation of Japanese tourists for medical tour of Daejeon University hospital and to draw up a plan for better policies. Methods : 59 Japanese tourists visiting oriental medicines hospital of Daejeon University from January 2012 to September 2012, were analysed in the statistics. And 8 of them answer a questionnaire about reasons for selection of Daejeon University hospital, satisfaction for thread embedding therapy and side effects of thread embedding therapy. Results : A total of 59 foreigners visited oriental medicines hospital of Daejeon University for medical service, consisting of 54 females(92 %), the thirties to fifties 71 % by age. The 87.5 % of patients answered that the reason for choosing this hospital was the subsidization of the medical expenses, and 50 % for appropriate payment, 37.5 % for safety, 12.5 % for recommendation of the people who had good experience at this hospital. The 71% of patients selected thread-embedding therapy for treating wrinkles. The degree of satisfaction was evaluated as quite satisfaction of 87.5 %, full satisfaction of 12.5 % showing that a whole number of the patients treated with thread-embedding therapy showed relative satisfaction. This evaluation is, however, a short term survey which should lead to a further term study. For the evaluation of side effects of thread-embedding therapy, 75 % of patients answered as pain occurred during the therapy, 62.5 % as edema, 50 % as hypodermal bleeding. Conclusion : First of all, there should be more constructive promotion and support for medical tour of oriental medicines, ultimately leading to promoting better clusters of oriental medicines. Secondly, support in terms of a medical law should be established for medical disputes, and the best follow-up service should be considered.

A Case Report of Bilateral Retrobulbar Hemorrhage after Lower Blepharoplasty (하안검 성형수술 후 발생한 양측 안구 뒤 혈종의 치험례)

  • Son, Kyung Min;Park, Cheol Woo;Cheon, Ji Seon
    • Archives of Craniofacial Surgery
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    • v.14 no.2
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    • pp.133-136
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    • 2013
  • Retrobulbar hemorrhage is a rare but serious complication after blepharoplasty, mid-face injury, and treatment of facial bone fractures. The incidence of postoperative retrobulbar hemorrhage is 0.055% with an incidence of associated permanent blindness of 0.005%. A 69-year-old male came to the emergency room with pain on both orbital areas and uncontrolled bleeding after cosmetic lower blepharoplasty performed at a private clinic. He had not been evaluated preoperatively by the private clinic, but we found that he had undergone percutaneous transluminal coronary angioplasty and taken anticoagulants for 10 years. We performed an emergency operation to evacuate the hematoma. However, after surgery, he persistently complained of orbital pain, pressure and diminished visual acuity. Intraocular pressure was increased, and computed tomography demonstrated a retrobulbar hemorrhage with globe displacement. Emergent lateral canthotomy and cantholysis were performed. Intraocular pressure was decreased to 48/30 mm Hg immediately after the operation, falling within the normal range the next day. We recommend three points to minimize loss of vision by retrobulbar hematoma. Firstly, careful preoperative evaluation must be conducted including current medications, underlying diseases and previous history of surgeries. Secondly, cautious postoperative observation is important for the early diagnosis of retrobulbar hematoma. Lastly, immediate treatment is crucial to prevent permanent blindness.

Analysis on the Shape and Size of Sanitary Pads and User Experience Evaluation (여성위생용품 형태 및 사이즈 분석과 사용성 평가)

  • Kim, Yeon Soo;Kim, Sujeung;Lee, Sujin;Kim, Dong-Eun
    • Journal of the Korean Society of Clothing and Textiles
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    • v.44 no.3
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    • pp.485-498
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    • 2020
  • Sanitary pads are used with for the sanitization of menstruation bleeding. In this research, twenty medium size disposable sanitary pads were selected from domestic and international brands in order to analyze their shape and size. Additionally, 6 sanitary pads were selected among the 20, and user experience evaluations were completed. The analysis on the shape of the 20 sanitary pads showed that straight-shape pads existed more than curved-shape pads. The means of total pad length, wing length, wing width, front pad width, back pad width, front pad length, and back pad length were 24.5 cm, 8.8 cm, 3.0 cm, 10.0 cm, 10.2 cm, 11.6 cm, and 13.0 cm, respectively. All selected pads were medium size; however, detailed sizes varied between brands. Eighty-one women participated on user experience evaluation. Participants felt that brand F was the longest and brand D the shortest. The results matched with the results on actual pad length measurement. Participants evaluated the fit of brand E most positively and fit of brand A most negatively. The current study provides valuable information for developing disposable sanitary pads.