• Title/Summary/Keyword: bleeding

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A Case of Gastro-Colic Fistula due to Ectopic Gastric Mucosa and its $^{99m}TcO_4$ Scan Findings (대장에 발생하여 대장-위 루를 형성한 이소성 위점막과 $^{99m}TcO_4$ 스캔 소견)

  • Park, Seok-Gun;Lee, Yeon-Hee;Im, Chang-Young;Cho, Jung-Hee
    • The Korean Journal of Nuclear Medicine
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    • v.32 no.2
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    • pp.172-177
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    • 1998
  • We report a case of gastro-colic fistula caused by ectopic gastric mucosa developed at transverse colon. Fistula was detected by colonofiberscopy. And fistulous tract was proved by barium enema. Meckel's diverticulum scan finding was similar to that of GI bleeding; e.g. injected radioactivity was secreted into the lumen and moved along the lumen. There was no bleeding. And there was no diverticulum in the colon. Absence of diverticular pouch may explain this unusual GI bleeding-like scan finding rather than focal collection of radioactivity, which is typical of ectopic gastric mucosa found in the Meckel's diverticulum. Ectopic gastric mucosa was confirmed by colonofiberscopic biopsy. We suggest GI bleeding-like pictures should be included in differential diagnosis of $^{99m}TcO_4$ (ectopic gastric mucosa or Meckel's diverticulum) scan.

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A Philological Study of Acupunture and Moxibustion for Uterine Bleeding (붕루(崩漏)의 침치료(鍼治療)와 구치료(灸治療)에 대한 문헌적(文獻的) 고찰(考察))

  • Yang Seung-Jeong;Jo Seong-Hee;Jin Cheon-Sik;Kim Hyo-Eun;Kwon Se-Ra
    • Korean Journal of Acupuncture
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    • v.19 no.2
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    • pp.133-148
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    • 2002
  • This study was designed to investigate acupunture and moxibustion for uterine bleeding through literature research. We extracted the parts about acupunture, moxibustion and both of acupunture and moxibustion for uterine bleeding from ancient and modern oriental medical literature. The results were summerized as follows; 1. The acupoints used on acupunture only were 58 acupoints. The acupoints used often were SP6, LR3, SP10, CV3, CV6 in order and the meridians used often were SP, CV, LV, KI in order. 2. The acupoints used on moxibustion only were 38 acupoints. The acupoints used often were SP10, SP1, SP6, CV4, CV6 in order and the meridians used often were SP, CV, KI, GV in order. 3. The acupoints used on both of acupunture and moxibustion were 22 acupoints. The acupoints used often were SP6, LR3, SP10, KI10 in order and the meridians used often were LV, SP, KI in order.

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COMPLICATIONS ASSOCIATED WITH DENTAL IMPLANT SURGERY; CASE REPORT (임플란트 수술 시의 합병증; 증례 보고)

  • Lee, Hyun-Jin;Yeo, Duck-Sung;Lim, So-Yeon;An, Kyung-Mi;Sohn, Dong-Seok
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.33 no.2
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    • pp.173-180
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    • 2007
  • According to the increase in use of implants in clinical dentistry, new kinds of complications happen. Complications that can happen during implant placement are bleeding, nerve injury, jaw fracture, fenestration of maxillary sinus or nasal cavity, dehiscence, fenestration, injury of adjacent tooth. And complications that can happen after implant operation are infection, bleeding, hematoma, chronic sinusitis, peri-implantitis. Problems that are confronted during implant placement happen by inadequate preoperative treatment plan, inadequate consideration about individual anatomic difference, inadequate operation process and lack of experience of clinician. It is important that clinicians consider possible complications in advance and make a comprehensive treatment plan. We report the patient who was happened ramus fracture during block bone harvesting from ramus of severely atrophic mandible, the patient who came to emergency ward due to postoperative swelling and bleeding and the patient whose implant was migrated to maxillary sinus with a review of literature.

Short-term evaluation of dental implants in a diabetic population: an in vivo study

  • Inbarajan, Athiban;Veeravalli, Padmanabhan Thallam;Vaidyanathan, Anand Kumar;Grover, Manita
    • The Journal of Advanced Prosthodontics
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    • v.4 no.3
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    • pp.134-138
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    • 2012
  • PURPOSE. The study was conducted to evaluate the efficacy of implant supported tooth replacement in diabetic patients. MATERIALS AND METHODS. The study involved placement of implants (UNITI implants, Equinox Medical Technologies, Zeist, Holland, diameter of 3.7 mm and length 13 mm) in five diabetic patients (three females and two males) of age ranging from 35-65 years with acceptable metabolic control of plasma glucose. All patients included in the study were indicated for single tooth maxillary central incisor replacement, with the adjacent teeth intact. The survival of the restored implants was assessed for a period of three months by measurement of crestal bone heights, bleeding on probing and micro flora predominance. Paired t-test was done to find out the difference in the microbial colonization, bleeding on probing and crestal bone loss. P values of less than 0.05 were taken to indicate statistical significance. RESULTS. Results indicated that there was a significant reduction in bleeding on probing and colonization at the end of three months and the bone loss was not statistically significant. CONCLUSION. The study explores the hypothesis that patients with diabetes are appropriate candidates for implants and justifies the continued evaluation of the impact of diabetes on implant success and complications.

Efficacy of Geru (red ochre) in controlling the bleeding in patients of Adolescent menorrhagia

  • Kotagasti, Tabassum
    • CELLMED
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    • v.5 no.2
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    • pp.12.1-12.3
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    • 2015
  • Adolescent menorrhagia is defined as excessive menstrual bleeding from menarche to adolescents. It is a distressing condition both for the patient as well as for her parents. If it is not managed in time itmay pose significant health problems that may leads to blood transfusion. We determined the efficacy of Geru (Red ochre) in controlling the amount and duration of blood flow in patients of Adolescent menorrhagia. This study included 40 teenage girls, who presented with heavy bleeding during menstruation to Outpatient Department, Sameena Maternity Nursing Home, Hyderabad during the year of 2013. Assessment of each case was done by history and Pictorial Blood loss Assessment Chart (PBAC) score. Geru powder was given for 2 cycles and results were assessed. The data was analyzed statistically. The mean PBAC score before treatment was $497.04{\pm}389.92$ and after trial in $1^{st}$ and $2^{nd}$ it was found to be $471.13{\pm}162.18$ and $310.13{\pm}142.15$ respectively. On basis of results it was concluded that single unani drug Geru is enough in controlling bleeding and was found effective by its astringent and styptic properties.

Improvement of Chronic Bleeding in the Patient with Unresectable Advanced Gastric Cancer Using the Decoction of Notoginseng Radix - a Case Report

  • Jeon, Hyeonjin;Park, Sora;Lee, Sookyung
    • The Journal of Korean Medicine
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    • v.37 no.2
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    • pp.104-109
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    • 2016
  • Objectives: A 74-year-old male patient with unresectable advanced gastric cancer (clinical initial stage T3N+, Borrmann type III) admitted due to gastric bleeding at tumor site. On first admission day, hemoglobin level was 5.7g/dl and performance status was grade 3 according to Eastern Cooperative Oncology Group Performance Status(ECOG-PS). After performing red blood cell transfusion as an emergency treatment, hemoglobin level was increased up to 9.5g/dl. However, bleeding of oozing site was continued. For hemostasis, decoction of notoginseng radix (30g/day) was administered since day 7 after admission. The dose was elevated to 40g/day after hemoglobin level was decreased to 6.5g/dl on day 11. Since then, melena was stopped and hemoglobin level was maintained over 9.1g/dl. This case shows the hemostasis effect of decoction of notoginseng radix on gastric bleeding in unresectable advanced gastric cancer.

Comparison of visual blood loss estimates and subjective emergency according to clothing color : quasi-experimental study using bleeding simulation (의복의 색상에 따른 시각적 출혈량 추정값의 정확도와 주관적 응급도의 차이 비교 : 출혈모의환자를 이용한 유사실험연구)

  • Park, Si-Eun;Kwak, Yumi
    • The Korean Journal of Emergency Medical Services
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    • v.24 no.2
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    • pp.111-121
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    • 2020
  • Purpose: The purpose of this study was to compare visual blood loss estimation and subjective emergency according to clothing color. Methods: This is a quasi-experimental study which involved the use of mock bleeding patients wearing different colors tops. Results: Differences in visual estimates according to clothing color were significant in both paramedic students (F=6.69, p=.002) and the general department students (F=20.92, p=.000). When looking specifically at the accuracy of visual estimates, the paramedic students group tended to underestimate (50% white, 62.5% black, 32.5% yellow) the actual blood volume in all experimental conditions. On the other hand, the general department group tended to overestimation (45% white, 40% black, 67.5% yellow). The subjective emergency was also found to differ between paramedic students (F=13.58, p=.000) and general department students (F=9.67, p=.000). Conclusion: Paramedics treating bleeding patients at pre-hospital stages need to pay attention to blood loss estimations depending on clothing color, a factor not to be neglected or underestimated.

An idiopathic delayed maxillary hemorrhage after orthognathic surgery with Le Fort I osteotomy: a case report

  • Park, Byungho;Jang, Wan-Hee;Lee, Bu-Kyu
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.45 no.6
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    • pp.364-368
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    • 2019
  • A Le Fort I osteotomy is a common procedure for correcting dental and facial deformities in orthognathic surgery. In rare cases, a delayed hemorrhage can occur as early as several hours or up to 12 weeks, postoperatively. The most frequently involved blood vessels in a delayed hemorrhage are the descending palatine artery, the internal maxillary artery, and the pterygoid venous plexus of veins. Intraoral bleeding accompanied by severe epistaxis in these cases makes it difficult to locate the precise bleeding focus. Eventual uncontrolled bleeding would require Merocel packing or surgical intervention. In general, a severe late postoperative hemorrhage is most effectively managed by angiography and embolization. Herein we describe a delayed hemorrhage case in which the cause was not evident on angiography. We were able to detect the bleeding point through an endoscopic nasal approach and treat it using direct cauterization.

A Case Report of metrorrhagia and metrostaxis with endometrial polyp (자궁내막 용종을 동반한 붕루환자 1례 보고)

  • Ban, Hye-Ran;Lee, Jin-A;Park, Kyung-Mi;Cho, Seong-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.18 no.3
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    • pp.250-257
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    • 2005
  • Purpose : This study was designed to evaluate the effects of oriental medicine therapy on a patient of metrorrhagia and metrostaxis with endometrial polyp. Methods : The clinical data was analyzed on a patient of metrorrhagia and metrostaxis with endometrial polyp whose main symptoms were dysfunctional uterine bleeding. A 27-year-old female who had been treated hormone replacement therapy for dysfunctional uterine bleeding at a obstetrics and gynecology became worse, so refused any more hormone replacement therapy and visited Dongsin university oriental hospital. The patient was admitted to the obstetrics and gynecology department of Dongsin university Oriental Medical Hospital, on Febrary 23, 2004 and remained until Apri 11, 2005. we treated the patient with a herb-medication, acupunture therapy, moxa therapy and etc. Results : After treatment, improvement was seen in dysfunctional uterine bleeding, generalized weakness. Conclusion : The study suggests that oriental medicine therapy is significantly effective in the treatment of metrorrhagia and metrostaxis with endometrial polyp.

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Bleeding Time Prolongation Effect of Methanol Extract of Viscum album var. coloratum

  • Yang, Hyun-Ok;Park, Shin-Young;Hong, Kyung-Hee;Kang, Lin-Woo;Choe, Kwang-Hoon;Kim, Young-Kyoon
    • Natural Product Sciences
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    • v.8 no.4
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    • pp.152-154
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    • 2002
  • The methanol extract of Viscum album var. coloratum, Korean mistletoe, showed potent prolongation effects on the bleeding time in rats in vivo, and whole blood clotting time and plasma recalcification time in rats ex vivo. The prolongation effect on the bleeding time of Korean mistletoe is comparable to that of Viscum album L., European mistletoe, 185.6% and 176.5%, respectively. However, the water extracts of the both plants did not show any prolongation effects. Platelet activating factor (PAF) receptor binding assay was carried out to elucidate the action mechanisms of the extracts, and both of the methanol extracts did not show any inhibitory activity. The $LD_{50}$ of the methanol extracts of both mistletoes are more than 2 g/kg. These results suggest that the mehtanol extract of Korean mistletoe might be a potential candidate to develop new drug to improve microcirculation.