• 제목/요약/키워드: bleeding ratio

검색결과 300건 처리시간 0.031초

When do we need more than local compression to control intraoral haemorrhage?

  • Sohn, Jun-Bae;Lee, Ho;Han, Yoon-Sic;Jung, Da-Un;Sim, Hye-Young;Kim, Hee-Sun;Oh, Sohee
    • 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.

Are Neutrophil/Lymphocyte and Platelet/Lymphocyte Ratios Associated with Endometrial Precancerous and Cancerous Lesions in Patients with Abnormal Uterine Bleeding?

  • Acmaz, Gokhan;Aksoy, Huseyin;Unal, Dilek;Ozyurt, Sezin;Cingillioglu, Basak;Aksoy, Ulku;Muderris, Ipek
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권4호
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    • pp.1689-1692
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    • 2014
  • Background: An easy, reproducible and simple marker is needed to estimate phase of endometrial pathologic lesions such as hyperplasia and endometrial cancer and distinguish from pathologically normal results. We here aimed to clarify associations among neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), endometrial hyperplasia and cancer in patients with abnormal uterine bleeding. Materials and Methods: Patients (n=161) who were admitted with abnormal uterine bleeding and the presence of endometrial cells on cervical cytology or thick endometrium were investigated. The study constituted of three groups according to pathologic diagnosis. Group 1 included endometrial precancerous lesions like hyperplasia (n=63), group 2 included endometrial cancerous lesions (n=38) and group 3 was a pathologically normal group (n=60). Blood samples were obtained just before the curettage procedure and the NLR was defined as the absolute neutrophil count divided by the absolute lymphocyte count; similarly, PLR was defined as the absolute platelet count divided by the absolute lymphocyte count. Results: The white blood cell count was significantly higher in patients with cancer than in those with hyperplasia (p=0.005). The platelet count and neutrophil to lymphocyte ratio were significantly higher in patients with cancer than in control patients, but there was significantly no difference between patients with hyperplasia and other groups (p=0.001 and p=0.025 respectively). PLR was significantly lower in control subjects than in other groups (p<0.001), but there was no significant difference between patients with hyperplasia and those with cancer. Conclusions: PLR was significantly lower in control subjects than in other groups. Thus both hyperplasia and cancer may be differentiated from pathologically normal patients by using PLR. White blood cell count was significantly higher in patients with cancer than in those with hyperplasia and pathologically normal patients. Therefore white blood cell count may be used for discriminate hyperplasia to cancer. By using multiple inflammation parameters, discrimination may be possible among endometrial cancer, endometrial precancerous lesions and pathologically normal patients.

Hypolipidemic and Antithrombotic Effects of Increasing Intake of Linolenic Acid Derived from Perilla Oil in Rats

  • Rim, Jung-Hye
    • Journal of Nutrition and Health
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    • 제26권7호
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    • pp.839-850
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    • 1993
  • This study investigated the hypolipidemic and antithrombotic effects of linolenic acid derived from Korean perilla oil. The experimental rats(male, Sprague-Dawley) were divided into 5 groups using a Randomized Complete Block Design and fed one of the five following diets : DO*/O#. D4/O, D4/4, D4/8, or D4/20(D*/# represents the ratio of linoleic to linoenic acid as the percentage of total dietary energy intake) for 4 or 8 months. Bleeding time and whole blood clotting time were determined and the composition of serum and platelet lipids analyzed. Comparisons from the DO/O to the D4/20 group showed that serum lipids (total lipid, triglyceride, total cholesterol, and HDL-cholesterol) gradually decreased with increasing linolenic acid intake - the hypolipidemic effect. The composition of platelet fatty acids[the ratio of eicosapentaenoic acid(EPA)/arachidonci aci(AA)] increased gradually with increasing linolenic acid intake. Higher linolenic acid intake increased bleeding time and whole blood clotting time, and decreased malondialdehyde(MDA) production in the platelets, though no significant differences. These results suggest that linolenic acid derived from perilla oil appears to suppress the conversion of linoleic acid to AA and the EPA transformed from linolenic acid appears to suppress the conversion of AA to TXA2. Since TXA2 is a platelet-aggregating and vasoconstricting agent, the redulction of TXA2 released by platelets with increasing intake of perilla oil containing a lot of linolenic acid confers an antithrombotic effect.

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ANALYSIS OF RELATIONSHIP BETWEEN IMAGE COMPRESSION AND GAMUT VARIATION

  • Park, Tae-Yong;Ko, Kyung-Woo;Ha, Yeong-Ho
    • 한국방송∙미디어공학회:학술대회논문집
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    • 한국방송공학회 2009년도 IWAIT
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    • pp.80-84
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    • 2009
  • This paper investigates the relationship between the compression ratio and the gamut area for a reconstructed image when using JPEG and JPEG2000. Eighteen color samples from the Macbeth ColorChecker are initially used to analyze the relationship between the compression ratio and the color bleeding phenomenon, i.e. the hue and chroma shifts in the a*b* color plane. In addition, twelve natural color images, divided into two groups depending on four color attributes, are also used to investigate the relationship between the compression ratio and the variation in the gamut area. For each image group, the gamut area for the reconstructed image shows an overall tendency to increase when increasing the compression ratio, similar to the experimental results with the Macbeth ColorChecker samples. However, with a high compression ratio, the gamut area decreases due to the mixture of adjacent colors, resulting in more grey.

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원위 수지 재접합술 뒤 간헐적 실혈 요법 (Intermittent Bleeding Method after Replantation o the Distal Phalanx)

  • 이병호;박찬일;이준모
    • Archives of Reconstructive Microsurgery
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    • 제20권1호
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    • pp.38-42
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    • 2011
  • Purpose: To evaluate the effect of intermittent bleeding method in the distal phalanx replantation. Materials and Methods: From January 2007 through June 2009, authors have replanted 117 cases of distal phalangeal amputation in adults at Soo Hospital and Chonbuk National University Hospital. Cases of zone II were 60 cases and zone III 57 according to Allen classification. Male to female ratio was 8.7:1.3. The most common cause was machinery injury in the factory, 98 cases(83.8%), next one was belt injury of the machine, 11 cases(9.4%) and others, 8(6.8%). At least one digital artery and digital nerve were anastomosed under the operating microscope, but vein was impossible to anastomosis as unable to find out in the zone II and III. After anastomosis of one or more digital arteries and nerves, heparine(6,000-10,000 units) was kept to intravenous injection for 24 hours and at the same time fish mouth incision in 2-3 millimeter diameter was made in the distal radial and ulnar margin of the replanted distal phanlanx. From the first 30 minutes to an hour after replantation, incision site was swabbed with heparinized cotton ball for 5 minutes in every 30 to 40 minutes to make sure perfusion for 24 hours, every an hour at the second day, every two hours at the postoperative third to fifth day. Results: 92 cases(78.6%) was completely survived at average postoperative third week follow-up and satisfied with preservation of the finger nail, digit length, good range of motion of the distal interphalangeal joint and acceptable sensibility at average 1.2 years follow-up. Conclusions: Intermittant bleeding method in replantation of crushed distal phalanx impossible to anastomosis of vein at zone II and III of Allen classification was regarded as one of the notable salvage procedure.

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Characteristics of patients who visit the dental emergency room in a dental college hospital

  • Kim, Chihun;Choi, Eunhye;Park, Kyeong-Mee;Kwak, Eun-Jung;Huh, Jisun;Park, Wonse
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제19권1호
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    • pp.21-27
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    • 2019
  • Background: Emergencies in dentistry can be classified as medical and dental. Medical emergencies occur mainly during dental treatment in patients with a systemic disease. Dental emergency departments are largely divided into dental emergency rooms located in dental college hospitals and medical emergency rooms located in medical institutions. This study aimed to analyze the characteristics of and provide help to dental emergency patients in a dental hospital. Methods: Overall, 1806 patients admitted to a dental emergency room at Yonsei University Dental Hospital for 1 year were included. The data collection period was from October 1, 2014 to September 30, 2015. An investigator reviewed medical records from the electronic medical record (EMR) system and radiographs. Results: The patients were 1,070 men and 736 women. The sex ratio was 1.45:1. The commonest age group was of 0-9 years, including 451 (25.0%) patients, followed by 20-29 years, including 353 (19.5%) patients, and 30-39 years, including 277 (15.3%) patients. Of the 108 patients transferred to the Severance emergency department, 81 had trauma, 19 were in pain, 4 were bleeding, and 4 had other complaints. Among chief complaints, 1,079 patients (60.3%) had trauma, 564 (31.5%) had pain, and 75 (4.2%) had bleeding. Twenty-three cases (1.3%) were caused by temporomandibular disorder (TMD). Conclusion: Dentists should be able to adequately assess patients in a dental emergency room and treat trauma, pain, and bleeding.

수축보상을 위한 자기충전 콘크리트의 현장적용 (A Field Application of the Self-Compaction Concrete for Shrinkage Compensation)

  • 이상수;원철;박상준;김동석
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2002년도 학술논문발표회
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    • pp.7-12
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    • 2002
  • The purpose of this study is to design and to apply the self-compaction concrete mixture to field, having not only high strength but also compensation for shrinkage without thermal crack under 4 sides outer restraint of the member. In the experimental mix, replacement ratio of limestone Powder, CSA expansive additives, and unit water were selected as parameters, using portland blast-furnace slag cement. And, bleeding test, expansibility test, hydration heat analysis were performed. As a results, when Cement is replaced with 35% limestone Powder, 6% CSA expansive additives at unit water 175kg/$m^3$, demanded performances of fresh and hardened self-compaction concrete are accomplished in the field application.

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LNG Tank용 자기충전 콘크리트의 배합설계에 관한 연구 (A Study on the Mix Design of the Self-Compaction Concrete for the LNG Tank)

  • 김동석;박상준;원철;이상수
    • 한국건축시공학회지
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    • 제3권4호
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    • pp.135-138
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    • 2003
  • The purpose of this study was to design the self-compaction concrete mixture, having not only high strength but also compensation of shrinkage without thermal crack under 4 sides outer restraint of the member. In the experimental mix, replacement ratio of limestone Powder, CSA expansive additives, and unit water were selected as parameters, using portland blast-furnace slag cement. And, bleeding test, expansibility test, hydration heat analysis were performed. As a results, when 35% of limestone Powder, 6% CSA expansive additives are replaced at unit water 175kg/$\textrm{m}^3$, demanded performances of fresh and hardened self-compaction concrete are accomplished.

LNG Tank용 자기충전 콘크리트의 배합설계에 관한 연구 (A Study on the Mix Design of the Self-Compaction Concrete for the LNG Tank)

  • 김동석;박상준;원철;이상수
    • 한국건축시공학회지
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    • 제4권1호
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    • pp.85-88
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    • 2004
  • The purpose of this study was to design the self-compaction concrete mixture, having not only high strength but also compensation of shrinkage without thermal crack under 4 sides outer restraint of the member. In the experimental mix, replacement ratio of limestone Powder, CSA expansive additives, and unit water were selected as parameters, using portland blast-furnace slag cement. And, bleeding test, expansibility test. hydration heat analysis were performed. As a results, when 35% of limestone Powder, 6% CSA expansive additives are replaced at unit water 175kg/$\textrm{m}^3$, demanded performances of fresh and hardened self-compaction concrete are accomplished.

물시멘트비 및 Bottom Ash 대체율에 따른 콘크리트의 특성에 관한 실험적 연구 (An Experimental Study on the Properties of Concrete according to Water-Cement Ratio and Bottom Ash Replacement Ratio)

  • 이종호;조봉석;이태희;김용로;최세진;김무한
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 2002년도 봄 학술발표회 논문집
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    • pp.699-704
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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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