• Title/Summary/Keyword: bleeding ratio

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An Experimental Study on the Properties of Concrete using Bottom Ash according to Water-Cement Ratio (물시멘트비에 따른 바텀애시를 사용한 콘크리트의 특성에 관한 실험적 연구)

  • 이종호;김재환;김용로;강석표;최세진;김무한
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2002.05a
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    • pp.57-60
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    • 2002
  • Recently, the coal ash production has been increased by increase of consumption of electric power. So it is important to find a reclaimed place and treatment utility for treating coal ash. Accordingly, in this study we performed an experimental study to compare and analyze the Properties of concrete according to W/C and bottom ash replacement ratio. As a result of this study, it was found that the bleeding content was decreased according to decrease of W/C and increase of bottom ash replacement ratio, and the compressive strength of concrete using bottom ash was similar to plain concrete(replacement ratio 0%).

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Prostatic Bleeding after Prostatic Biopsy Effects Oncological Outcomes with Laparoscopic Radical Prostatectomy

  • Takai, Tomoaki;Inamoto, Teruo;Komura, Kazumasa;Tsujino, Takuya;Matsunaga, Tomohisa;Yoshikawa, Yuki;Uchimoto, Taizo;Saito, Kenkichi;Tanda, Naoki;Minami, Koichiro;Uehara, Hirofumi;Ibuki, Naokazu;Takahara, Kiyoshi;Nomi, Hayahito;Kiyama, Satoshi;Azuma, Hayahito
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.3
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    • pp.1373-1377
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    • 2016
  • Background: We vigorously reviewed patients' operation record who had adhesion of the Denonvilliers' fascia and found out most of these patients had prostatic bleeding after prostatic gland biopsies. We examined the magnitude of prostatic bleeding and frequency after biopsies and the relationship with oncological outcomes. Materials and Methods: A total of 285 patients were selected for the final analyses. Inclusion criteria were as follows: receiving MRI three weeks after biopsiesand laparoscopic radical prostatectomy within 300 days after biopsy. We divided the patients into two groups with (group A) or without (group B) prostatic bleeding. We examined the magnitude of prostatic bleeding after biopsies and the relationship with operation time (OT), positive surgical margin (PSM), biochemical recurrence (BCR) and other factors. Furthermore, we created a logistic-regression model to derive a propensity score for prostatic bleeding after biopsies, which included all patient and hospital characteristics as well as selected interaction terms, and we examined the relationship with PSM and BCR. Results: In all patients, the OT in the group B was shorter than the group A (p < 0.001). Prostatic bleeding was associated with PSM (p=0.000) and BCR (p=0.036). In this propensity-matched cohort, 11 of 116 patients in the group B had PSM as compared with 36 of 116 patients from group A (match-adjusted odds ratio, 4.30; 95%CI confidence interval, 2.06 to 8.96; P=0.000). In addition, eight of 116 patients in group B encountered BCR, as compared with 18 of 116 patients in group A (match-adjusted odds ratio, 2.48; 95%CI, 1.03 to 5.96; P=0.042). Kaplan-Meier analysis in the propensity matching cohort showed a significant biochemical recurrence-free survival advantage for being free of prostate bleeding after biopsies. Conclusions: Our findings in the present cohort should help equip surgeons to pay attention to careful excision especially for those who experienced deferred prostatic bleeding.

Risk of Hemorrhage Attributed to Underlying Chronic Diseases and Uninterrupted Aspirin Therapy of Patients Undergoing Minor Oral Surgical Procedures: A Retrospective Cohort Study

  • Rojanaworarit, Chanapong;Limsawan, Soontaree
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.3
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    • pp.165-176
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    • 2017
  • Objectives: This study aimed to estimate the risk of bleeding following minor oral surgical procedures and uninterrupted aspirin therapy in high-risk patients or patients with existing chronic diseases compared to patients who did not use aspirin during minor oral surgery at a public hospital. Methods: This retrospective cohort study analyzed the data of 2912 patients, aged 20 years or older, who underwent 5251 minor oral surgical procedures at a district hospital in Thailand. The aspirin group was comprised of patients continuing aspirin therapy during oral surgery. The non-aspirin group (reference) included all those who did not use aspirin during surgery. Immediate and late-onset bleeding was evaluated in each procedure. The risk ratio of bleeding was estimated using a multilevel Poisson regression. Results: The overall cumulative incidence of immediate bleeding was 1.3% of total procedures. No late-onset bleeding was found. A significantly greater incidence of bleeding was found in the aspirin group (5.8% of procedures, p<0.001). After adjusting for covariates, a multilevel Poisson regression model estimated that the bleeding risk in the aspirin group was 4.5 times higher than that of the non-aspirin group (95% confidence interval, 2.0 to 10.0; p<0.001). However, all bleeding events were controlled by simple hemostatic measures. Conclusions: High-risk patients or patients with existing chronic diseases who continued aspirin therapy following minor oral surgery were at a higher risk of hemorrhage than general patients who had not used aspirin. Nonetheless, bleeding complications were not life-threatening and could be promptly managed by simple hemostatic measures. The procedures could therefore be provided with an awareness of increased bleeding risk, prepared hemostatic measures, and postoperative monitoring, without the need for discontinuing aspirin, which could lead to more serious complications.

Bleeding characteristics of coupling materials for installation of acoustic emission (AE) sensor (AE 센서 설치를 위한 커플링 재료의 블리딩 특성)

  • Lee, Jong-Won;Kim, Hyunwoo;Kim, Min-Koan;Oh, Tae-Min
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.19 no.4
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    • pp.635-650
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    • 2017
  • Acoustic emission (AE) sensors have broadly used to monitor the damage of underground structures and tunnels. The reliability of measured signal is determined by the coupling condition of the AE sensors which are embedded in the target underground structure. To secure the reliability of health monitoring results, it is important to understand the characteristics of the coupling materials. In this study, laboratory tests were performed using portland cement, micro cement, and gypsum as coupling materials in order to verify the bleeding characteristics. The effective parameters for bleeding were determined to be water-cement ratio, material type, curing time, and injected volume of coupling materials. As a results of the experimental study, the bleeding rate increases with an increase in a water-cement ratio and an injected volume; for portland cement, water-cement ratio and injected volume effects are larger than the micro cement. However, curing time is not much effective for occurrence of the bleeding phenomenon. It is anticipated that this study may be useful for the selection of suitable coupling materials for installation of acoustic emission sensors.

Clinical Factors and Perioperative Strategies Associated with Outcome in Preinjury Antiplatelet and Anticoagulation Therapy for Patients with Traumatic Brain Injuries

  • Pang, Chang Hwan;Lee, Soo Eon;Yoo, Heon
    • Journal of Korean Neurosurgical Society
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    • v.58 no.3
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    • pp.262-270
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    • 2015
  • Objective : Long-term oral anticoagulation or antiplatelet therapy has been used with increasing frequency in the elderly. These patients are at increased risk of morbidity and mortality from expansion of intracranial hemorrhage. We conducted a single-center retrospective case control study to evaluate risk factors associated with outcomes and to identify the differences in outcome in traumatic brain injury between preinjury anticoagulation use and without anticoagulation. Methods : A retrospective study of patients who underwent craniotomy or craniectomy for acute traumatic cerebral hemorrhage, between January 2005 and December 2014 was performed. Results : A consecutive series of 50 patients were evaluated. The factors significantly differed between the two groups were initial Prothrombin Time-International Normalized Ratio, initial platelet count, initial Glasgow Coma Scale score, and postoperative intracranial bleeding. Mean Glasgow Outcome Scale (GOS) score were similar between the two groups. In the patient with low-energy trauma only, no significant differences in GOS score, postoperative bleeding and many other factors were observed. The contributing factors to postoperative bleeding was preinjury anticoagulation and its adjusted odds ratio was 12 [adjusted odds ratio (OR), 12.242; p=0.0070]. The contributing factors to low GOS scores, which mean unfavorable neurological outcomes, were age (adjusted OR, 1.073; p=0.039) and Rotterdam scale score for CT scans (adjusted OR, 3.123; p=0.0020). Conclusion : Preinjury anticoagulation therapy contributed significantly to the occurrence of postoperative bleeding. However, preinjury anticoagulation therapy in the patients with low-energy trauma did not contribute to the poor clinical outcomes or total hospital stay. Careful attention should be given to older patients and severity of hemorrhage on initial brain CT.

Factors associated with gingival bleeding by tooth brushing in college students (일부 대학생들의 칫솔질 시 치은출혈 관련요인)

  • Cho, Myung-Sook
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.6
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    • pp.921-926
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    • 2014
  • Objectives: The purpose of the study is to investigate the factors associated with gingival bleeding(GB) by tooth brushing in college students. Methods: A self-reported questionnaire was filled out by 232 college students in Daegu Health College from March to June, 2014. Data were analyzed for frequency, chi square test, and logistic regression analysis using SPSS 12.0 program. The study was a cross sectional study. The questionnaire consisted of general characteristics of the subjects(gender, age, marital status, and smoking), frequency and duration of tooth brushing, scaling experience, and physical health status. Self-reporting hemorrhage was reported by yes or no. Frequency of tooth brushing was documented as the number of behavior. Above 4 times of tooth brushing was defined as 4. Duration of tooth brushing was documented as minute. Above 4 minutes, it was recorded as 4. In physical health status, 1 is feeling weak and 4 is feeling very healthy. Cronbach alpha was 0.82 in the study. Results: There were significant relationships between gingival bleeding and age(p<0.05), subjective health(p<0.01), tooth brushing frequency(p<0.05) and duration(p<0.05) by chi square test. Logistic regression analysis showed that the age(p<0.05), subjective health(p<0.01), tooth brushing frequency(p<0.05) and duration(p<0.05) were associated with gingival bleeding. Prevalence of gingival bleeding in 20 years was 0.62(odds ratio 1.85, 95% CI 1.00~3.43) and it was higher than that in 10 years. Prevalence of gingival bleeding in good health group was -1.38 and it was lower than that in poor health group. Conclusions: The factors associated with gingival bleeding were age, subjective health, and tooth brushing frequency and time.

Modelling the performance of self-compacting SIFCON of cement slurries using genetic programming technique

  • Cevik, Abdulkadir;Sonebi, Mohammed
    • Computers and Concrete
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    • v.5 no.5
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    • pp.475-490
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    • 2008
  • The paper explores the potential of applicability of Genetic programming approach (GP), adopted in this investigation, to model the combined effects of five independent variables to predict the mini-slump, the plate cohesion meter, the induced bleeding test, the J-fiber penetration value, and the compressive strength at 7 and 28 days of self-compacting slurry infiltrated fiber concrete (SIFCON). The variables investigated were the proportions of limestone powder (LSP) and sand, the dosage rates of superplasticiser (SP) and viscosity modifying agent (VMA), and water-to-binder ratio (W/B). Twenty eight mixtures were made with 10-50% LSP as replacement of cement, 0.02-0.06% VMA by mass of cement, 0.6-1.2% SP and 50-150% sand (% mass of binder) and 0.42-0.48 W/B. The proposed genetic models of the self-compacting SIFCON offer useful modelling approach regarding the mix optimisation in predicting the fluidity, the cohesion, the bleeding, the penetration, and the compressive strength.

Management of Dental Patients taking Warfarin (와파린(Warfarin) 투여 환자의 치과 치료)

  • Park, Kwan-Soo
    • The Journal of the Korean dental association
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    • v.57 no.10
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    • pp.623-628
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    • 2019
  • Warfarin is an anticoagulant involved in the production of vitamin K dependent blood clotting factors. Dentists should be familiar with the appropriate assessment methods and considerations for the treatment of patients taking warfarin. Dental surgery with the moderate risk of bleeding can be performed without stopping the drug through preoperative examination of the INR(international normalized ratio) value and evaluation. When performing a surgery with a high risk of bleeding, it is necessary to evaluate whether the drug can be discontinued, what the duration is, and the risk of discontinuation. Hemostasis can be obtained by local methods in most cases of postoperative bleeding in patients taking appropriately adjusted doses of warfarin.

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Effects of cement type and sand to cement ratio on the properties of PSC grout (시멘트 종류 및 잔골재 시멘트 비율이 PSC 구조물용 그라우트의 기본 물성에 미치는 영향)

  • Park, Gi-Joon;Moon, Do-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.7
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    • pp.4644-4652
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    • 2014
  • This study examined the effects of the cement type and sand to cement ratio on the properties of grout for offshore PSC structures. Types I and III cement were used and the sand to cement ratio was varied from 0.5 to 1.5. When type I cement was used, considerable bleeding occurred on the all S/C after 3 hours and 20 hours. When type III cement was used, bleeding was reduced but the flowability decreased. A comparison of a superplasticizer containing naphthalene with that containing polycarboxylate showed that the problem of flowability could be solved using polycarboxylate.