• Title/Summary/Keyword: Electrocoagulation

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Angiodysplasia in a Child with Chronic Renal Failure: Endoscopic Hemostatic Therapy (소아 만성 신부전 환자에서 발생한 위혈관 이형성증의 Hemoclipping에 의한 지혈 치료 1례)

  • Lee, Yun-Jin;Kim, Young-Mi;Kim, Su-Young;Park, Jae-Hong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.6 no.2
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    • pp.192-196
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    • 2003
  • Angiodysplasia is the most common vascular abnormality of the gastrointestinal tract and probably the most frequent cause of recurrent lower intestinal bleeding in otherwise healthy elderly patients. Also, it is an important cause of hemorrhage in chronic renal failure observed in up to 19~32% of patients. Bleeding due to gastric angiodysplasia is treated by various endoscopic approaches, including argon and Nd : YAG laser photocoagulation, monopolar or bipolar electrocoagulation, heater probe, injection sclerotherapy, band ligation or hemoclipping. A 15-year-old boy, who had undergone hemodialysis for chronic renal failure for about 10 years, was admitted due to melena and progressive anemia. A gastroduodenoscopy revealed a cherry red and fern-like lesion with oozing on the posterior wall at junction of gastric body and fundus. Endoscopic hemoclipping therapy was performed. However, melena recurred four days later. Argon plasma coagulation and hemoclipping therapy were performed again. Since then, no recurrence of bleeding has been observed.

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Performance Assessment of Electrolysis Using Copper and Catalyzed Electrodes for Enhanced Nutrient Removal from Wastewater

  • Kim, Woo-Yeol;Son, Dong-Jin;Yun, Chan-Young;Kim, Dae-Gun;Chang, Duk;Sunwoo, Young;Hong, Ki-Ho
    • Journal of Electrochemical Science and Technology
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    • v.8 no.2
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    • pp.124-132
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    • 2017
  • The performance of electrolytic processes using copper and catalyzed electrodes for enhanced nutrient removal with various catalyzers and combinations of electrodes was evaluated. The catalyzed electrodes removed more ammonia nitrogen than the copper electrode, but higher ammonia removal was achieved using a Pt/Ti anode. On the other hand, electrolysis using the Pt/Cu anode consumed less energy and cost less. During electroreduction, nitrate was better removed by a pair of copper electrodes than by the catalyzed electrodes. During electrolysis of synthetic wastewater, ammonia removal not only increased owing to direct oxidation at the anode, but was also influenced by indirect oxidation at the cathode. Platinum-coated copper and titanium cathodes actively produced oxidizers and thus removed more ammonia than a pure metal cathode. Although phosphorus was removable irrespective of the type of catalyzer, electrocoagulation using the copper electrode achieved complete removal of phosphorus in a period of less than 10 min.

Endoscopic Hemostatic Treatment of Peptic Ulcer Bleeding (소화성 궤양 출혈의 내시경 치료)

  • Choe, Yeon Hwa;Park, Jun Chul
    • The Korean journal of helicobacter and upper gastrointestinal research
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    • v.18 no.4
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    • pp.235-241
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    • 2018
  • Peptic ulcer bleeding is a common complication of peptic ulcer disease and the most common cause of upper gastrointestinal bleeding. Despite advances in drug usage and endoscopic modalities, no significant improvement is observed in the mortality rate of bleeding ulcers. The purpose of this review is to discuss various endoscopic hemostatic methods to treat peptic ulcer bleeding. Endoscopic hemostatic techniques can be classified into injection, mechanical, electrocoagulation, hemostatic powder, and endoscopic Doppler-guided hemostatic therapies (the last mentioned being a newly developed technique). Endoscopic hemostasis can be performed as mono or combination therapy using the aforementioned methods. Endoscopic hemostasis is the most important treatment for patients with peptic ulcer bleeding. Endoscopists should consider the treatment approach for peptic ulcer bleeding based on patient characteristics, the size and shape of the lesion, the endoscopist's expertise, and the resources and circumstances at each hospital. Follow-up studies are needed to evaluate the efficacy of newly developed hemostatic powder therapy and endoscopic Doppler-guided hemostasis.

Utilization of Waste Aluminium Foil as a Sacrificial Electrode for the Treatment of Wastewater

  • Perumalsamy, Rajagopal;Kumaran, Chithra;Rajamanickam, Vaishali
    • Journal of Electrochemical Science and Technology
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    • v.12 no.1
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    • pp.92-100
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    • 2021
  • In this study, the use of waste food grade aluminium foil and mild steel as a sacrificial electrode in an electrocoagulation system was developed to remove reactive red 111 from wastewater. The effect of different parameters like pH, current density, electrode material, and different electrode configurations was investigated. Optimum operating conditions for maximum COD removal were determined as, 6 mA/㎠ current density and 30 min at 5 pH for aluminium foil and 7 pH for mild steel. Maximum COD reduction obtained at optimum conditions using monopolar 4 electrodes, monopolar 2 electrodes and bipolar electrode configuration were 96.5%, 89.3%, and 90.2% for Mild steel as a sacrificial electrode and 92.1%, 84.2%, and 88.6% for aluminium foil as a sacrificial electrode. The consumption of electrode and energy for both the electrodes of different configurations were calculated and compared. Using batch experimental data, a continuous-flow reactor was developed. Sludge analysis using Fourier Transform Infra-Red Spectroscopy (FTIR) analysis was done. Different adsorption kinetic models and isotherms were developed and it was found that pseudo second-order model and Langmuir isotherm fit best with the experimental data obtained.

Severe Recurrent Gingival Bleeding and Toothache Control in a Patient with Liver Cirrhosis and Oral Metastatic Hepatoma: Report of a Case (간경화증과 구강전이 간암환자에서 과도한 재발성 치은출혈과 치통조절: 증례보고)

  • Lee, Chun-Ui;Mo, Dong-Yub;Yoo, Jae-Ha;Choi, Byung-Ho;Kim, Jong-Bae
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.32 no.6
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    • pp.592-596
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    • 2010
  • The common local causes of active gingival bleeding are the vessel engorgement and erosion by severe inflammation and injury to hypervascularity lesion. Abnormal gingival bleeding is also associated with systemic bleeding disorders (liver disease, leukemia etc.). There are many conventional methods for gingival bleeding control, such as, direct pressure, packing, electrocoagulation, tight suture and application of hemostatic agents. If the continuous gingival bleeding is not stopped in spite of the all local application methods, the medical consultation should be obtained for systemic condition care and the major feeding arterial embolization. This is a case report of severe gingival bleeding and periodontitis control in a patient with liver cirrhosis and oral metastatic lesion of hepatocellular carcinoma. The bleeding lesion was placed in left buccal mucosa and gingiva of the left mandibular molars. The control methods were dental crown removal, primary endodontic drainage, gingival sulcus drainage and maxillary arterial embolization with medical consultation.

Comparison of Nitrate and Fluoride Removals between Reverse-Osmosis, Nano-Flitration, Electro-Adsorption, Elecero-Coagulation in Small Water Treatment Plants (소규모 수도시설의 역삼투(RO), 나노여과(NF), 전기흡착(EA), 전기응집(EC) 공정의 질산성 질소 및 불소 이온 제거 성능 비교)

  • Han, Song-Hee;Chang, In-Soung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.4
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    • pp.2027-2036
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    • 2013
  • Comparison of removal performance between reverse osmosis(RO), nanofiltration(NF), electrocoagulation(EC) and electroadsorption(EA) for removal of nitrate and fluoride often exceeded the limits of water quality in small water treatment plants. Removals of nitrate and fluoride were 72-92% and 74-85% in RO, 5-15% and 1% in NF, 99% and 44% in EA equipped with MWCNT coated electrodes, 82% and 77% in EA equipped with Cu-MWCNT electrodes, and 11-46% and 69-99% in EC. Consequently, high removals of both ions were anticipated in RO. Effective removal of both ions are possible for EC, but great production of sludge is a big burden. EA equipped with the MWCNT electrodes showed a great fluctuation in removal efficiency, and electrode stability should be upgraded.

Crown removal and endodontic drainage as a last method in active gingival bleeding with liver cirrhosis and periodontitis: a case report (간경화증과 치주염으로 과도한 치은출혈을 보인 응급환자에서 최후 지혈방법으로 치관제거와 치근관 배농술: 증례보고)

  • Choi, Young-Su;Kang, Sang-Hoon;Kim, Moon-Key;Lee, Chun-Ui;Yoo, Jae-Ha
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.3
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    • pp.221-227
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    • 2010
  • The most common local cause of active gingival bleeding is the vessel engorgement and erosion by severe inflammation. Abnormal gingival bleeding is also associated with the systemic disturbances. Hemorrhagic disorders in which abnormal gingival bleeding is encountered include the following: vascular abnormalities (vitamin C deficiency or allergy), platelet disorders, hypoprothrombinemia (vitamin K deficiency resulting from liver disease), and other coagulation defects (hemophilia, leukemia). There are many conventional methods for gingival bleeding control, such as, direct pressure, electrocoagulation, direct suture, drainage, application of hemostatic agents and crushing and packing. If the active continuous gingival bleeding is not stopped in spite of the application of all conventional bleeding control methods, the life of patient is threatened owing to upper airway obstruction, syncope, vomiting and hypovolemic shock. Therefore, the rapid and correct hemostatic method is very important in the emergency dental care. This is a case report of active gingival bleeding care via dental crown removal and emergency primary endodontic drainage as a last method in liver cirrhosis patient with advanced periodontitis.

Ultrasonic dissection versus electrocautery for immediate prosthetic breast reconstruction

  • Lee, Dongeun;Jung, Bok Ki;Roh, Tai Suk;Kim, Young Seok
    • Archives of Plastic Surgery
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    • v.47 no.1
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    • pp.20-25
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    • 2020
  • Background Ultrasonic dissection devices cause less thermal damage to the surrounding tissue than monopolar electrosurgical devices. We compared the effects of using an ultrasonic dissection device or an electrocautery device during prosthetic breast reconstruction on seroma development and short-term postoperative complications. Methods We retrospectively reviewed the medical records of patients who underwent implant-based reconstruction following mastectomy between March 2017 and September 2018. Mastectomy was performed by general surgeons and reconstruction by plastic surgeons. From March 2017 to January 2018, a monopolar electrosurgical device was used, and an ultrasonic dissection device was used thereafter. The other surgical methods were the same in both groups. Results The incidence of seroma was lower in the ultrasonic dissection device group than in the electrocautery group (11 [17.2%] vs. 18 [31.0%]; P=0.090). The duration of surgery, total drainage volume, duration of drainage, overall complication rate, surgical site infection rate, and flap necrosis rate were comparable between the groups. Multivariate analysis revealed that the risk of seroma development was significantly lower in the ultrasonic dissection device group than in the electrocautery group (odds ratio for electrocautery, 3.252; 95% confidence interval, 1.242-8.516; P=0.016). Conclusions The findings of this study suggest that the incidence of seroma can be reduced slightly by using an ultrasonic dissection device for prosthesis-based breast reconstruction. However, further randomized controlled studies are required to verify our results and to assess the cost-effectiveness of this technique.

Evaluation of the efficacy of unipolar and bipolar spinal dorsal root ganglion radiofrequency thermocoagulation in the treatment of postherpetic neuralgia

  • Zhu, Jianjun;Luo, Ge;He, Qiuli;Yao, Ming
    • The Korean Journal of Pain
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    • v.35 no.1
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    • pp.114-123
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    • 2022
  • Background: Different views have been proposed on the radiofrequency treatment modes and parameters of radiofrequency thermocoagulation of the spinal dorsal root ganglion for the treatment of postherpetic neuralgia (PHN). It is urgent to identify a more effective therapy for patients with PHN. Methods: Patients who underwent radiofrequency thermocoagulation therapy for PHN were retrospectively reviewed and were divided into a radiofrequency thermocoagulation (CRF) and double neddles radiofrequency thermocoagulation (DCRF). The pain scores (numerical rating scale, NRS) were evaluated at the following time points: before the operation, 1 day, 3 months, 6 months, 1 year, and 2 years after operation. The incidence of complications and the degree of pain relief were evaluated. The in vitro ovalbumin experiment was used to indicate the effects of radiofrequency thermocoagulation. Results: Compared with the preoperative NRS scores, the postoperative NRS scores decreased significantly; the NRS scores of the DCRF group was lower than that of the CRF group at all time points from 6 months to 2 years following the operation. The total effective rate of the DCRF group was significantly higher than that of the CRF group at 2 years following the operation. The incidence of numbness in the DCRF group was higher than that noted in the CRF group. The ovalbumin experiments in vitro indicated that the effects of radiofrequency thermocoagulation were optimal when the distance between the two needles was 5 mm. Conclusions: DCRF with a 5 mm spacing exhibits a longer duration and higher effective rate in the treatment of PHN and is worth promoting.

The Investigation of Treatment of Pistachio Processing Industrial Wastewater by Electrochemical Methods in Terms of Chemical Oxygen Demand and Total Phenol Removal

  • Alper Erdem Yilmaz;Baybars Ali Fil;Murat Tolga Yilmaz;Serkan Bayar;Zuhal Koksal
    • Journal of Electrochemical Science and Technology
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    • v.15 no.1
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    • pp.178-189
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    • 2024
  • This work aims to investigate the efficiency of electrocoagulation (EC) of pistachio processing industrial wastewater (PPIW) using the continuous EC process. The tubular reactor made of stainless steel with an internal diameter of 60 mm was used as a cathode electrode. The effect of some parameters was examined on the removal of chemical oxygen demand (COD) and total phenols (TP) removal efficiency. The influences of the initial pH of wastewater (from 4 to 8), flow rate (from 25 to 125 mL/min), current density (from 7 to 21 mA/cm2), and supporting electrolyte type (NaCl, NaNO3, and Na2SO4), supporting electrolyte concentration (from 10 to 100 mg/L NaCl) on removal efficiency were investigated to determine the best experimental conditions. The examination of the physico-chemical parameters during the EC treatment showed that the best removal efficiency was obtained under conditions where the flow rate was 25 mL/min (20 min reaction time), the pH value was 5.2, and the current density was 21 mA/cm2 has set. Under these experimental conditions, COD and TP removal efficiency were found to be 75% and 97%, respectively, while energy consumption was 18.5 kW h/m3. The study results show that the EC can be applied to PPIW pre-treatment.