• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제45권6호
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• pp.343-350
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• 2019

Objectives: The aims of this study were to determine the effectiveness of local compression in patients presenting to the emergency room with intraoral bleeding and to identify when complex haemostatic measures may be required. Materials and Methods: Five hundred forty patients who had experienced intraoral haemorrhage were retrospectively reviewed. The outcome variable was the haemostasis method used, i.e., simple (local compression with gauze) or complex (an alternative method after local compression has failed). Predictor variables were sex, age, American Society of Anesthesiologists (ASA) class, hepatic cirrhosis, bleeding disorder, use of antithrombotic agents, and site/cause of haemorrhage. Results: The mean patient age was 48.9±23.9 years, 53.5% were male, 42.8% were ASA class II or higher, and 23.7% were taking antithrombotic agents. Local compression was used most often (68.1%), followed by local haemostatic agents, sutures, systemic tranexamic acid or blood products, and electrocautery. The most common site of bleeding was the gingiva (91.7%), and the most common cause was tooth extraction (45.7%). Risk factors for needing a complex haemostasis method were use of antithrombotic agents (odds ratio 2.047, P=0.009) and minor oral surgery (excluding extraction and implant procedures; odds ratio 6.081, P=0.001). Conclusion: A haemostasis method other than local compression may be needed in patients taking antithrombotic agents or having undergone minor oral surgery.

• Toxicological Research
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• 제20권2호
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• pp.137-142
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• 2004

We investigated the effects of plant vinegar on platelets and blood coagulation system. Plant vinegar inhibited in vitro platelet aggregation in a concentration dependent manner, when platelets were activated by thrombin and collagen. In addition, plant vinegar showed inhibitory effects on the serotonin secretion induced by thrombin in a concentration dependent manner. However, treatment with plant vinegar to platelets did not induce any cytotoxicity, as determined by the release of lactate dehydrogenase. Plant vinegar did not change the coagulation parameters such as activated partial thromboplastin time (aPTT) and prothrombin time (PT) using rat citrated plasma. In vivo study revealed that, treatment with plant vinegar prolonged the bleeding time from mouse tail. All these results suggest that plant vinegar might improve blood hemostasis mediated via anti platelet activities.

• 약학회지
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• 제45권5호
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• pp.476-483
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• 2001

The clotting assay was replaced by the chromogenic substrate assay which is recommended by the European Pharmacopoeia (EP) and the Scientific and Standardization Committee of the International Society on Thrombosis and Haemostasis based on the reliability convenience and simplicity of the chromogenic assay, A correlation study was carried out with a one-stage factor Ⅷ : C clotting assay and the performance of the chromogenic assay was evaluated using two test kits that fulfilled the requirements of EP for factor Ⅷ concentrates test. Although chromogenic assay has partly differences in measurement principle and standardization, this assay has a high correlation with clotting assay in various types of factor Ⅷ concentrates and factor Ⅷ standard. We conclude that the chromogenic assay for factor Ⅷ : C concentrates correlates well with the clotting assay and shows good analytical performance.

• Clinical and Experimental Reproductive Medicine
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• 제26권1호
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• pp.123-126
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• 1999

A successful outcome of pregnancy requires an efficient uteroplacental vascular system. Since this system may be compromised by disorders of haemostasis associated with a prothrombotic state, maternal thrombophilia might be a risk factor for fetal loss. Hereditary deficiencies of the naturally occuring anticoagulants are well recognized conditions predisposing to recurrent venous thromboembolism. Since thrombotic phenomena have been implied as a cause of abortion and stillbirth, these deficiencies might increase the risk of fetal demise. We have experienced a case of antiphospholipid syndrome associated with protein C deficiency in patient with recurrent spontaneous abortion. So we report this case with a brief review of literatures.

• 한국식품위생안전성학회지
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• 제15권2호
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• pp.167-172
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• 2000

최근 동물성 식품 및 지방 섭취 증가로 인한 현대인의 식생활 변화로 혈소판 활성화가 직접적 원인인 뇌 .심혈관질환의 사망률이 증가되고, 성인병 예방과 치료의 대처방안으로 식품의 기능성에 대한 관심이 높아짐에 따라서 천연착색료이며 항균, 항암 작용이 있는 자근(Lithospermum erythrorhizon)으로부터 추출, 분리 . 정제한 분획물에서 혈소판 활성화 억제작용이 있는 생리활성물질을 분리 . 동정하였다 자근에서 methanol, n-hexane, ethyl acetate 등의 용매추출물과 methanol 추출물에 NaOH프 처리한 n-hexane 추출물에 대한 혈소판 응집 억제작용은 collagen의 응집작용에 대하여 n-hexane재추출물이, thrombin의 응집작용에 대하여 ethyl acetate추출물이 큰 억제작용을 보였고, 이러한 추출물에서 컬림 및 HPLC로 분리 .정제한 5개 물질의 화학구조를 IH과 13C-NMR 스펙트라 분석한 결과 shikonin, acethylshi onin, isobutylshikonin, $\alpha$-methyl-n-butylshikonin, $\beta$,$\beta$-dimethylacrylshikonin을 확인하였고, 혈소판 응집 억제작용은 $\beta$,$\beta$-dimethylacrylshi onin$\geq$$\alpha$-methyl-n-butylshikonin>isobutylshikonin>acetylshikonin>shikonin순으로 나타났다. 이상의 결과로부터 자근색소의 생리활성은 shikonin유도체이며 11번 탄소에 치환된 aliphatic 기의 탄소수가 많을수록 억제작용이 강하게 나타난다고 사료된다.

• Journal of Periodontal and Implant Science
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• 제48권5호
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• pp.274-283
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• 2018

Purpose: Numerous indices have been proposed to analyse wound healing in oral soft tissues, but each has specific shortcomings. A new method of analysis, the Early Wound Healing Score (EHS), was evaluated in the present study. The aim was to assess more accurately early healing by primary intention of surgical incisions in periodontal soft tissues. Methods: Twenty-one patients were treated with different surgical procedures comprising 1 or 2 vertical releasing incisions as part of a surgical access flap. Twenty-four hours after surgery, early wound healing at the vertical releasing incisions was assessed using the EHS. This score assessed clinical signs of re-epithelialization (CSR), clinical signs of haemostasis (CSH), and clinical signs of inflammation (CSI). Since complete wound epithelialization was the main outcome, the CSR score was weighted to be 60% of the total final score. Accordingly, a score of 0, 3, or 6 points was possible for the assessment of CSR, whereas scores of 0, 1, or 2 points were possible for CSH and CSI. Higher values indicated better healing. Accordingly, the score for ideal early wound healing was 10. Results: Thirty vertical releasing incisions were assessed in 21 patients. At 24 hours after incision, 16 vertical releasing incisions (53.33%) received the maximum score of CSR, while 6 cases (20%) received an EHS of 10. None of the cases received 0 points. Conclusion: The EHS system may be a useful tool for assessing early wound healing in periodontal soft tissue by primary intention after surgery.

• 한국식품영양과학회지
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• 제31권3호
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• pp.511-515
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• 2002

최근 동물성 식품 및 지방 섭취 증가로 인한 현대인의 식생활 변화로 혈소판 활성화가 직접적 원인인 뇌심혈관질환의 사망률이 증가되고 성인병 예방과 치료의 대처방안으로 식품의 기능성에 대한 관심이 높아짐에 따라 진경, 항균, 진통, 해열, 이뇨, 지한, 진정 등의 작용을 갖는 작약(Peoniae radix)으로부터 추출, 분리.정제한 분획물에서 혈소판 응집 억제 작용이 있는 생리활성물질을 분리.동정하였다. 작약에서 methanol, ethyl acetate의 용매추출과 이러한 추출물에서 컬럼 및 HPLC로 분리.정제한 2개 물질의 화학구조를 $^1$H-과 $^{13}$C-NMR 스펙트라 분석한 결과 benzoyloxypaeoniflorin과 paeoniflorin을 확인하였고 혈소판 응집 억제작용은 benzoyl-oxypaeoniflorin이 비교적 강하게 나타내었다.