• Title, Summary, Keyword: hemolysis

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Studies on the hemolytic action of chlorpromazine (Chlorpromazine 의 용혈작용(溶血作用)에 관(關)한 연구(硏究))

  • Kim, Kyu-Tae
    • The Korean Journal of Pharmacology
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    • v.3 no.1
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    • pp.31-41
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    • 1967
  • The author studied the hemolytic action of chlorpromazine on rabbit erythrocytes and obtained the following results: 1. Chlorpromazine caused hemolysis in vitro. The hemolytic action of chlorpromazine was milder than that of saponin(Colleman and Bell Co ) 2. Cholesterol had no marked effect on chlorpromazine hemolysis. 3. Dextrose, albumin and blood plasma protected erythrocytes against chlorpromazine hemolysis. 4. The mechanism of chlorpromazine hemolysis seemed to be different from that of saponin hemolysis. 5. Chlorpromazine increased tile osmotic fragility of rabbit erythrocytes. 6. The intravenous injection of chlorpromazine caused hemolysis in vivo.

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Prediction of Hemolysis in Intra-Cardiac Axial Flow Blood Pumps for Optimization of the Impellers (심장 내 이식형 축류 혈액펌프의 임펠러 최적화를 위한 용혈량 예측)

  • Kim, Dong-Uk;Mitamura, Yoshinori
    • The Transactions of the Korean Institute of Electrical Engineers D
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    • v.51 no.9
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    • pp.431-437
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    • 2002
  • Low hemolysis is one of the key factors in the production of successful rotary blood pumps. It is, however, difficult to identify the areas where hemolysis occurs. Computational fluid dynamics(CFD) analysis enables the engineer to predict hemolysis on a computer Fluid dynamics in five different axial flow pumps was analyzed 3-dimensionally using CFD software. The impeller was rotated at a speed which supplied a flow of 5L/min at a pressure difference of 100mmHg. Changes in the turbulent kinetic energy along streamlines through the pumps were computed. Reynolds' shear stress( (equation omitted) ) was calculated using the turbulent kinetic energy. Hemolysis was evaluated based on Reynolds'shear stress and its exposure time(t) : dHb/Hb=3.62$\times$10$^{-5}$ $t^{0.785}$$\tau$$^{2.416}$ . Hemolysis of the pumps was measured in vitro using fresh bovine blood to which citrate phosphate dextrose was added to prevent clotting. A pump flow of 5L/min was maintained at a pressure difference of 100mmHg for 3h. The normalized index of hemolysis(NIH) as measured. Reynolds' shear stress was high behind the impellers. The measured NIH and the calculated hemolysis(dHb/Hb) shoed a good correlation; NIH=0.0003(dHb/Hb) (r=0.90, n=6) in the range of NIH between 0.003 and 1.1. CFD analysis can predict the in vitro results of hemolysis as well as the areas where hemolysis occurs.ysis occurs.

Severe Hemolysis after St. Jude Medical Valve Replacement in the Aortic Position -A Redo Case Report - (판막치환술 후 심한 용혈 현상으로 재치환한 경험)

  • 조영철
    • The Korean Journal of Thoracic and Cardiovascular Surgery
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    • v.21 no.4
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    • pp.706-710
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    • 1988
  • Intravascular hemolysis occurs in the majority of patient with mechanical valve prosthesis. The primary cause is mechanical trauma to red cells from turbulent blood flow through the prosthesis. Degree of hemolysis is dependent upon the type, size and material of valve and aggravated by paravalvular leakage. Clinically important hemolytic anemia is required medical management or consideration of reoperation. In severe hemolysis, reoperation is recommended without delay when seems to be renal failure. In this case, postoperative severe mechanical hemolysis was developed immediately after aortic valve replacement with St. Jude medical valve in a 13 year-old male patient. Neither significant paravalvular leakage nor valvular dysfunction was found through redo, but the mechanical valve was strongly suspected the cause of severe hemolysis. The St. Jude Medical valve was changed with Ionescu-Shiley bioprosthesis and any significant clinical problems were not noted through the postoperative course.

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Improvement of Two-Stage Centrifugal Blood Pump for Cardiopulmonary Support System and Evaluation of Anti-Hemolysis Performance

  • Horiguchi, Hironori;Tsukiya, Tomonori;Takemika, Toratarou;Nomoto, Takeshi;Tsujimoto, Yoshinobu
    • International Journal of Fluid Machinery and Systems
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    • v.8 no.1
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    • pp.1-12
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    • 2015
  • In cardiopulmonary support systems with a membrane oxygenation such as a percutaneous cardiopulmonary support (PCPS) or an extracorporeal membrane oxygenation (ECMO), blood pumps need to generate the pressure rise of approximately 200mmHg or higher, due to the high hydraulic resistances of the membrane oxygenation and of the cannula tubing. In order to realize the blood pump with higher pressure rise, higher anti-hemolysis and thrombosis performances, the development of novel centrifugal blood pump composed of two-stage has been conducted by the authors. In the present paper, effective attempts to decrease the wall shear stress and to suppress the stagnation are introduced for the prevention of hemolysis and thrombosis in blood pumps. The hemolysis test was also carried out and it was clarified that the decrease of wall shear stress is effective as a guideline of design of blood pumps for improving the anti-hemolysis performance.

The Hemolytic Characteristics of Amphotericin B-Containing Egg PC Liposomes (Amphotericin B가 함유된 Egg PC 리포솜의 용혈 특성)

  • Kim, J.C.;Lee, E.O.;Kim, J.D.
    • Journal of Pharmaceutical Investigation
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    • v.23 no.2
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    • pp.111-118
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    • 1993
  • The hemolytic characteristics of amphotericin B-containing liposomes have been investigated in vitro. From the hemolysis of human erythrocytes against free and liposomal amphotericin B, the marked reduction in the toxicity of amphotericin B was observed by incorporating the drug in egg PC liposomes. For 45 min, free amphotericin B at $9.6\;{\mu}g/ml$ could completely lyse 2 wt% human erythrocytes. However, liposomal amphotericin B had essentially no lytic effect even in the range over $9.6\;{\mu}g/ml$. In the 66 hr-hemolysis experiment, liposomal amphotericin B showed the slowly hemolysing chracteristics during the experimental period regardless of the concentration of amphotericin B but rapid hemolysis only for 12 hr was observed in the case of free amphotericin B and the degree of hemolysis for 12 hr was maintained after that time. Also the hemolysing ability of liposomal amphotericin B at $4\;{\mu}g/ml$ was lower than that of free amphotericin B at the same concentration for 66 hr. On the other hand, the dependence of hemolysis on amphotericin B contents in egg PC liposomes was significant between 1.64 mole% amphotericin B-containing liposomes and 15.79 or 27.27 mole% amphotericin B-containing liposomes. But no marked difference in hemolysis was observed between 15.79 and 27.27 mole% amphotericin B-containing liposomes. Especially, cholesterol as an excipient in amphotericin B-containing liposomes significantly reduced the hemolysis of human erythrocyte. The degree of hemolysis in 5 mole% amphotericin B-containing liposomes was reduced to approximately 50% of value in the cholesterol-free liposomes by adding 50% cholesterol.

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Streptozotocin에 의한 랫드 적혈구 손상에 관한 연구

  • 호지숙;문창규;정진호
    • Toxicological Research
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    • v.8 no.1
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    • pp.109-118
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    • 1992
  • Streptozotocin (STZ) is a naturally occurring nitrosoamide used extensively to produce diabetes in experimental animals. Since streptozotocin reportedly decrease deformability of red blood cells (RBC), we sought to investigate its potential toxicity at RBC. In addition to elevation blood glucose, 100mg/kg iv streptozotocin caused significant RBC hemolysis in female Sprague-Dawley at 48 hrs post treatment. Streptozotocin induced hemolysis was found to be dose and time-dependent` complete hemolysis required a relatively high streptozotocin concentration (500 mM, 4 hrs incubation), which is much more than in vivo dose.

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Hemolysis after PDA Unbrella Occlusion; Surgical Treatment (경피적 카테타 동매관 폐쇄술후 발생한 용혈)

  • 나찬영
    • The Korean Journal of Thoracic and Cardiovascular Surgery
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    • v.26 no.11
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    • pp.890-893
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    • 1993
  • The first successful percutaneous transcatheter occlusion technique for patent ductus arteriosus achived by Rashkind in 1977.Transcatheter occlusion with the Rashikind double umbrella device is now widely accepted as treatment for patent ductus arterisus. The reported complications include embolization of the device, psudocoarctation left pulmonary artery stenosis, residual shunts, and mechanical hemolysis. We report two cases of severe hemolysis after occlusion of PDA with Rashkind occluder.

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Evalution of Hemolysis in Axial Flow Blood Pump with Computational Fluid Dynamics Analysis (전산유체해석을 이용한 축류형 혈액펌프의 용혈평가)

  • 임상필;김동욱
    • Proceedings of the KAIS Fall Conference
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    • pp.256-259
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    • 2003
  • Artificial heart is divided pulsation style and nonpulsation style greatly according to flowing of blood. nonpulsation pump is advantage of miniaturization avaliable because it is simple and non-volumic-pump than pulsation pump. Non pulsation pump is derided axial flow style and centrifugal style accordig to rotating style. An axial flow blood pump can be made smaller than a centrifugal blood pump because of its higher specific speed. A hemolysis is an important factor for the development of an axial flow blood pump. It is difficult to identify the areas where hemolysis nun. Evaluation of hemolysis both in in vitro and in vivo require a long time and are costly. Computational fluid dynamics(CFD) analysis enables the engineer to predict hemolysis on a computer. The aims of this study is Computational fluid dynamics in the whole axial flow pump and to verify the accuracy of prediction results of CFD analysis compare with in vitro experimental results.

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The Oxidative Stress in Cigarette Smokers and Antioxidant Vitamins

  • Aewha, Ha;Harris, Natholyn D.
    • Journal of Nutrition and Health
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    • v.30 no.9
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    • pp.1102-1108
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    • 1997
  • The purpose of this study was to find the extent of lipid peroxidation of erythrocytes in cigarette smokers, and to determine the relative effectiveness of $\beta$-carotene, canthaxanthin , and $\alpha$-tocopherol as antioxidants. Thirty smokers and 30 nonsmokers participated in this study . No significant differences according to age, sex, and height were shown. Cigarette smokers in this study had higher hemoglobin concentrations and more oxidation of hemoglobin than non-smokers. In addition, the erythrocytes of cigarette smokers had significantly higher MDA concentrations than crythrocytes of nonsmokers, which suggests that smokers may have tocopherol were studied in vitro by measuring the concentration of malondialdehyde(MDA) and precent hemolysis of erythrocytes. The addition of any antioxidant to erythrocytes significantly decreased MDA concentrations(p<0.05) while antioxidants showed nonsignificant inhibition of hemolysis. Among the antioxidant used in this study, canthaxanthin showed the greatest inhibition of both lipid peroxidationand hemolysis. Meanwhile, $\alpha$-tocopherol showed potent inhibition of lipid peroxidation, but not of hemolysis.

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Factors Affecting Hemolysis in Blood Sampling and Repeated Sampling in the Emergency Department (응급실에서의 채혈로 인한 용혈 및 재채혈 관련요인)

  • Cho, Myung Sook;Hwang, Moon Sook
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.3
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    • pp.399-410
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    • 2011
  • Purpose: This study was conducted to investigate the incidence of blood hemolysis and repeated blood sampling and to identify factors contributing to hemolysis and repeated blood sampling in the emergency department. Methods: A cross-sectional descriptive design was used. Participants were the patients who came to emergency department and are required a blood sampling for electrolyte level. All blood samples were collected by emergency department nurses and determined for hemolysis by experienced laboratory technologists. Data were analyzed using $x^2$-test, Fisher's exact test, Mann-Whitney u test and Binary Logistic Regression to determine significant differences. Results: A total of 402 valid samples were collected. Of these, 30 blood samples (7.5%) were found to be hemolyzed and 9 (2.2%) to be recollected. Statistically significant factors affecting on hemolysis and repeated blood sampling included the time of bloods sampling (night), the time of tourniquet application, and too-fast blood draw into the test tube. Conclusion: We recommend that nurses who take the blood sampling to consider the findings of the study and take the related factors into account as they set up the standardized care protocol in order for nursing quality improvement.