• 제목/요약/키워드: Bruise

검색결과 63건 처리시간 0.026초

Angio-$Seal^{TM}$ $Evolution^{TM}$ versus Manual Compression for Common Femoral Artery Puncture in Neurovascular Diagnostic Angiography: A Prospective, Non-Randomized Study

  • Chung, Joon-Ho;Lee, Dong-Woo;Kwon, Ok-Sim;Kim, Bum-Soo;Shin, Yong-Sam
    • Journal of Korean Neurosurgical Society
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    • 제49권3호
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    • pp.153-156
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    • 2011
  • Objective : This prospective, non-randomized study compared the safety and efficacy of the Angio-$Seal^{TM}$ $Evolution^{TM}$ to that of manual compression for common femoral artery punctures in neurovascular diagnostic angiography. Methods : From June 2009 to September 2009, we performed 169 diagnostic trans-femoral cerebral angiographies, using either the Angio-$Seal^{TM}$ $Evolution^{TM}$ or manual compression to achieve hemostasis. We included 60 patients in this study, 30 in each group. We defined minor complications as those requiring no further treatment such as hematoma size less than 6 cm and bruise size less than 25 cm. Major complications were those requiring surgery of the femoral artery pseudoaneurysm and/or the second line increase of hospital stay even without further treatment. Results : Mean time to hemostasis was $0.42{\pm}0.04$ minutes for the angioseal and $15.83{\pm}1.63$ minutes for manual compression (p<0.001). Overall complication rate did not differ between the 2 groups. After the patients were fully mobile, at 24 hours, the rate of onset of new complication differed significantly between the 2 groups (p=0.032). In the angioseal group, 5 (16.7%) of the 30 patients experienced the onset of a new complication after 24 hours, including 3 (60.0%) of the 5 who experienced major complications. Conclusion : The Angio-$Seal^{TM}$ $Evolution^{TM}$ is effective at decreasing mean time to hemostasis, like other closing devices. However, it may not be effective at producing early ambulation and discharge, compared to manual compression, because delayed complications may occur significantly after 24 hours.

무작위 대조 시험을 통한 족관절 염좌의 자침 중 심자와 천자의 비교 연구-준비 조사 (Comparison of Superficial and Deep Acupuncture in the Treatment of Ankle sprain : A Randomized Controlled Trial-Pilot study)

  • 박준성;김우영;백승태;이승덕;김갑성
    • Journal of Acupuncture Research
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    • 제21권5호
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    • pp.137-147
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    • 2004
  • Objective : The aim of the study was to compare the therapeutic effect of the superficial and in-depth insertion of acupuncture needles in the treatment of patients with ankle sprain. Design : A prospective randomized single-blind study of superficial and deep acupuncture was conducted. Setting : The study was conducted in the Kang-nam Oriental Hosp. of Dong-Guk University. Patients: The study comprised 14 patients with ankle sprain who were divided into two groups (A and B). Intervention : In group A, the needle was introduced in the skin at a depth of 2 mm, whereas in group B the needle was placed deeply into muscular tissue or the articular capsule at a depth more than 1.5 Cm The treatment was planned for a duration of 1 week, 3 times. Outcome Measures : The intensity of pain was evaluated with the Ankle grade pain chart(AGPC) before and after treatment and at the 1-week follow-up examination. The AGPC includes Swelling, Tenderness, Exudation, Bruise, Medial/Lateral. stability test, Anterior drawer test, Squeeze test, Bearing weight, Pressure Algometer, Walking state and VAS. Results : Although at the end of the treatment there was no evidence of significant statistical differences between the two different groups, Pain reduction(VAS) was greater in the group treated with deep acupuncture. A statistical difference existed between the two groups at the 1 week follow up, with a better result in the deeply stimulated group in VAS. Conclusion : Clinical results show that deep stimulation has a better analgesic effect when compared with superficial stimulation in pain reduction(VAS, Visual analogic scale).

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항혈소판제와 비스테로이드성소염진통제의 동시 투약으로 인한 출혈 사례 (Bleeding after Taking Dual Antiplatelets and NSAID Concurrently)

  • 서정민;최중혁;손병우;이승민;채현우;강근형;지은희
    • 한국임상약학회지
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    • 제28권3호
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    • pp.250-253
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    • 2018
  • When stenting is applied to treat myocardial infarction, antiplatelet agents are administered to prevent thrombosis, which increases the risk of bleeding. Patients with myocardial infarction are also more likely to have osteoarthritis simultaneously, because both diseases occur frequently in elderly patients. Patients with osteoarthritis often use analgesics, especially nonsteroidal anti-inflammatory drugs (NSAIDs); hence, patients with both diseases use analgesics and antiplatelet agents simultaneously. The risk of bleeding increases with the use of antiplatelet agents and this is further increased when NSAIDs are added. We would like to report a case that reflects this situation. A 60-year-old man underwent stenting after ST-elevation myocardial infarction, and was treated with aspirin and clopidogrel. This patient also received a pelubiprofen prescription from another physician to treat osteoarthritis. After the patient took pelubiprofen twice, he found a bruise on his wrist and reported it to the pharmacist. It is unlikely that this is rare in community pharmacies, so pharmacists should pay careful attention to the concomitant administration of analgesics to patients receiving antiplatelet agents and should provide appropriate education to patients.

뉵血에 대한 文獻的 考察 (外治法을 中心으로) (A Literature Study of the Epistaxis (A Focus of External Treatment))

  • 김성훈;유미경;정동환;심상희;박수연;김종한;최정화
    • 한방안이비인후피부과학회지
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    • 제16권3호
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    • pp.1-37
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    • 2003
  • The epistaxis is commonplace and temporary disease in the field of ENT. In most cases, it is a slight illness, but sometimes, it leads to death because of copious bleeding. The first treatment of epistaxis is stoping hemorrhage, but the real state of treatment in oriental medical is not thoroughgoing enough. So we referred to oriental medical journals and sundry records about etiology and remedy of epistaxis, we got this results. 1. The etiology of epistaxis was mostly bleeding due to heat in the blood by dysfunction of Jang and Bu Gi, there were affection wind-cold by exopathogen, spleen heat to liver, excessive fire of lung meridian, stagnated fire-heat of upper Cho, excessive drinking, bruise and so on. 2. The treatment was used much to remove heat from the blood and activating blood, in case of getting no better, it's used to enriching the blood or clear Gi. 3. The internal remedy of epistaxis was the most used 20times SeogakJihwangtang(犀角地黃湯) to remove heat from the blood and activating blood, and used Jihwangtang(地黃湯), Samhwangbohyultang(三黃補血湯), Jiyuksan(止육散), hueksinsan(黑神散), etc. The drugstuffs were the most used 51times Radix Rehmanniae Preparata((生地黃) to clear heat and remove heat from the blood, produce the body fluids, yin, and used Radix Paeoniae Alba(芍樂) and Radix Glycyrrhizae(甘草), Radix Angelicae Gignatis(當歸), Radix Scutellariae(黃岑), Rhizoma Coptidis(黃連) and Fructus Gardeniae(梔子), etc. 4. The external medical treatment of epistaxis was the most used 16times spraying the granular medication into the cavity and attaching Allii Bulbus(大蒜) to center of the sole or binding the middle finger, etc.

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RAW 264.7 세포에서 Heme Oxygenase-1 발현 유도를 통한 송절(松節) 약침액의 항염증 효능 (Pinus Densiflora Gnarl Extract for Pharmacopuncture Inhibits Inflammatory Responses through Heme Oxygenase-1 Induction in Lipopolysaccharide-Stimulated RAW264.7 Macrophages)

  • 이강파;문진영
    • Korean Journal of Acupuncture
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    • 제29권1호
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    • pp.37-46
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    • 2012
  • Objectives : The gnarl of Pinus densiflora, called Songjeol in Korea, has been used as a medicinal herb for the treatment of inflammatory-related diseases such as arthralgia, myalgia and bruise. However, the molecular actions and mechanisms have not been clearly investigated. The aim of this study was to clarify the anti-inflammatory activity of Pinus densiflora gnarl pharmacopuncture (PDGP) in lipopolysaccharide (LPS)-stimulated RAW264.7 cells. Methods : Cytotoxicity was assessed by XTT assay. The amount of nitric oxide (NO) production was determined by nitrite assay. The mRNA expressions of interleukin-$1{\beta}$ (IL-$1{\beta}$), interleukin-6 (IL-6), cyclooxygenase-2 (COX-2) and heme oxygenase-1 (HO-1) were analyzed by RT-PCR. Reactive oxidative species (ROS) generation was measured using the fluorescence microscopy. In addition, inducible nitric oxide synthase (iNOS) and redox factor-1 (Ref-1) protein expressions were detected by Western blotting. Results : PDGP inhibited NO production and ROS generation in LPS-stimulated RAW264.7 cells. At the mRNA level, PDGP suppressed IL-$1{\beta}$, IL-6 and COX-2 expression. On the other hand, PDGP induced HO-1 mRNA expression. Furthermore, PDGP suppressed iNOS and Ref-1 protein expression. Conclusions : This result suggests that PDGP can act as a suppressor agent on NO and iNOS through induction of HO-1, and play an useful role in blocking inflammatory responses.

화재진압 중 소방관의 돌발 고위험상황 노출 경험과 개인보호구 개선요구사항 실태조사 (Requirements of Improvement on Personal Protective Equipment and Experiences Exposed to Accidently High Risk Circumstance while Firefighting: A Questionnaire Study)

  • 이효현;김시연;김도희;김도형;이주영
    • 한국생활환경학회지
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    • 제24권5호
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    • pp.549-561
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    • 2017
  • We conducted a nationalwide questionnaire to investigate accidental experiences and injuries at flashover or flame-fire for active firefighters in the line of duty. A total of 794 firefighters participated in this survey (764 males, 27 females, and 3 respondents; $39.2{\pm}8.4yr$ in age, $173.7{\pm}5.1cm$ in height, $73.4{\pm}8.6kg$ in body mass). The results showed that high risk circumstances the most frequently experienced while firefighting in Korea was flashover followed by backdraft, rollover and flameover. At the high risk circumstances the most frequently-experienced injuries were bruise, stabs and burns. Firefighters hoped to reduce the total mass of personal protective equipment (PPE), improve the mobility of the PPE and dexterity of protective gloves, so that they could escape from the high risk circumstances as fast as possible. In particular, requirements for improvement on protective gloves were greater than those on other PPE. The present study suggested that the need for improvements on the current firefighters' PPE to cope with emergency high risk situations in terms of PPE mass reduction and mobility.

종합 건강검진 과정에서 나타난 일부 중년기 여성의 건강문제 (Health Problem of the Middle-Aged Women)

  • 성미혜
    • 대한간호학회지
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    • 제29권2호
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    • pp.258-270
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    • 1999
  • This study was carried out to offer the basic data for more qualitative lives of the middle-aged women through their health maintenance and control. So, the researcher reviewed and analyzed the health problems of the middle-aged women, the differences of main symptoms in each subject, positive ratcs in screening tests, the difference of screening tests with age and the correlation of obesity and blood pressure with screening tests. All subjects were 218 women(40-59years) who had a check-up at a comprehensive health check-up center in K University Hospital in Seoul from July 1, 1998 to August 31. 1998. Questionaires were developed to get subjects, general characteristics. main symptoms, medical examination and diagnosed disease by the researcher referring through the questionaires of comprehensive health check-up center and the medical recorders were used as a tool of study. The researcher analyzed the data with SPSS PC+ ; the distribution of the subjects, general characteristics and main symptoms with percentage : the difference between main symptoms and screening tests with X$^2$-test, ANOVA. The results are as follows. 1) Among the age distribution, most were 40-45 years old and unemployed. 2) The most common complaints were indigestion in digestive system, cough in respiratory system, heart beat in cardiovascular system, general sweat in endocrine system. edema in urinary system, easy bruise in hematologic system, backache in musculoskeletal system, headache in psychoneurologic system, lochia in gynecology, itch in dermatology system, eye ball pain in visual system and tinnitus in auditory system. 3) In main symptoms according to age, the 40-45 age group had a higher rate of complaints in digestive system and gynecology than other age group ; the 46-49 age group in endocrine system. 4) The main symptoms according to diagnosis had no difference statistically. 5) The screening tests which showed high rates of abnormality were mammography(the highest), abdominal ultrasonography, upper gastrointestinal series/gastrofiberscopy, PFT. In all age group the highest rate of abnormality was seen in mammography. 6) In screening tests according to age. the 46-49 age group showed higher positive rates of pap smear, blood sugar test, urine test than any other age group ; the 50-55 age group showerd higher positive rates of obesity, BP, chest X-ray, abdominal ultrasonography, ESR, SGOT, CRP and urine micro. 7) In correlation of obesity with screening test, the obesity group showed higher positive rates of blood pressure, chest X-ray, abdominal ultrasonography, HCT and CRP than the normal weight group. 8) In correlation of blood pressure with screening test, the hypertension group showed higher positive rate of obesity, chest X-ray, abdominal ultrasonography, pap smear and blood sugar than the normal blood pressure group. In conculusion, the middle-aged women have various physical symptoms and affected by age. The obesity and BP have an important effect on the health of the middle aged women. Therefore, this study is considered significant as data for qualitative lives of the middle-aged women playing an important part of family health care by catching of their health problem complaints for prevention of disease and promotion of health.

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20례 슬통환자의 통증, 이환기간, 물리적 검사법과 MRI소견과의 비교 고찰 (Comparative Study between MRI and pain, duration, physical examination in 20 patients with knee joint pain)

  • 양명복;장병선;이대용;이승훈;황병천;박정운;국의석;이건목
    • Journal of Acupuncture Research
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    • 제19권6호
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    • pp.221-233
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    • 2002
  • Background and Purpose : MRI(Magnetic Resonance Imaging) has become one of the most sensitive diagnostic tool no evaluate problems of the knee, because it enables us to identify not only osseous tissue but also soft tissues including muscle, fascia, tendon, ligament, meniscus and fat around the knee joint. Objective : To compare between MRI reading and pain, duration, physical examination in patients with pain of knee joint. Methods : 20 patients with pain of knee joint included in this study. This study researched pain-degree, duration, physical examination with pain of knee joint. Using MRI(Horizon Lx 1.0T-GE), we obtained the results. Results : 1. In the distribution of sex; Female rate was 80.0% and male rate was 20.0%. In the distribution of age, above sixty group was the largest group by each 55.0%. 2. In the distribution of MRI reading; 'Meniscus horm tear' was 70.0%, 'Osteoarthritis' was 55.5%, 'ACL partial tear' was 15.0%, 'Bone bruise at tibia, femur' was 15.0%. 3. Correlation between duration of pain and MRI reading showed that acute and subacute stage related various MRI reading, that chronic stage related 'Osteoarthritis' and 'Meniscus horn tear' by each 69.2%, 92.3%. 4. Correlation between pain and MRI reading showed that severe pain(GVI) related 'ACL partial tear, PCL partial tear' by each 100%, that mild pain(GII) related 'Osteoarthritis, Meniscus horn tear' by each 70.0%, 80.0%. 5. Correlation between physical examination and MRI reading showed that Drawer test related ACL partial tear by each 60.0%, that McMurray test related 'Meniscus horn tear' by each 75.0%. 6. Correlation between effect of treatment and MRI reading showed that 'Osteoarthritis, Meniscus horn tear' related good effect, that ACL partial tear related poor effect. Conclusions : These results suggest that acute and sever pain relate 'ACL partial tear, PCL partial tear', that chronic and mild pain related 'Osteoarthritis, Meniscus horn tear'. So it is responsibility to use MRI as a sensitive diagnostic tool in the knee problems.

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닭고기 부분육 품질 등급 설정을 위한 도계 및 추가가공장 관리자 의식 조사 (Survey of Manager's Perception of Slaughter and Further Processed House for the Determination of Grading of Poultry Meat Cuts)

  • 채현석;유영모;안종남;함준상;정석근;이종문;최양일
    • 한국가금학회지
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    • 제32권3호
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    • pp.179-186
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    • 2005
  • 본 실험은 닭고기 부분육의 품질 등급을 설정하기 위한 기초 자료를 얻고자 시중 도계장을 대, 중, 소로 구분하여 생산 관리 책임자들을 대상으로 설문지에 의한 방문 조사를 실시하였다. 부분육의 주요 거래처는 대규모 및 중규모 도계장은 중간 상인, 프랜차이즈, 백화점 순이었으나 추가가공장은 단체 급식에 공급하는 비율이 높았다. 도계 과정에서 닭고기 부분육 등급 판정을 수행하기 적당한 곳은 대규모 도계장의 경우 마지막 포장 단계를 선호하였다. 닭고기 부분육 등급은 몇 단계를 선호하는지에 대한 응답은 대규모 도계장 및 추가 가공장은 2단계를 선호하였고 중규모 도계장은 $2\~3$단계를 선호하였다 추가 가공육에 대해서는 도계장 규모와 관계없이 1단계를 선호하였다. 등급 판정 요인으로는 신선도 멍, 외상, 트리밍(손질) 이물질 순으로 중요도를 표현하였다. 절단육에 대한 등급 판정은 중규모 도계장 및 추가 가공장에서는 통닭 상태에서 판정하는 것을 선호하였고 대규모 도계장에서는 절단육 상태에서 판정하자는 의견이 많았다. 닭고기 부분육의 등급 판정 물량에 대해서는 도계장 규모와 관계없이 신청한 물량에 대해서만 판정하자는 의견이 많았다. 부분육등급 판정 도입 시기는 도계장규모와 관계없이 지금 당장은 아니어도 도입되는 것이 좋다는 의견이 다수를 차지하여 닭고기 부분육에 대한 품질 등급제를 선호하였다.

헐떡이풀의 핵형분석과 Bicolor FISH를 이용한 물리적 지도 작성 (Karyotype Analysis and Physical Mapping of rDNAs Using Bicolor-FISH in Tiarella polyphylla D. Don)

  • 김수영;이중구
    • 한국자원식물학회지
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    • 제20권5호
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    • pp.446-450
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    • 2007
  • 헐떡이풀은 다년생 초본으로 중국, 일본, 대만 그리고 한국에 분포한다. 특히 우리나라에서는 울릉도에서만 분포하는데, 천식 치료, 타박상 그리고 청각장애의 치료에 사용된다. 약용작물로써의 높은 가치에도 불구하고 염색체 수를 제외한 다른 세포유전학적인 연구가 거의 이루어지지 않았다. 따라서 핵형분석 뿐만 아니라 bicolor FISH를 통한 5S 와 45S rDNA의 물리적 지도작성에 관한 연구가 수행되었다. 체세포 염색체 수는 2n=2x=14로 염색체의 길이는 $1.66{\sim}3.50{\mu}m$ 이다. 또한 염색체의 구성은 4쌍의 차중부 염색체(염색체 1, 2, 3, 6)와 2쌍의 차단부 염색체(염색체 5, 7)그리고 1쌍의 단부 염색체(염색체 4)로 확인되었다. 또한 4번 염색체가 부수체 염색체로 관찰되었다. Bicolor-FISH를 통해 각각 1쌍의 5S와 45S rDNA 위치를 확인하였는데, 5S rDNA의 경우 염색체 3번의 동원체 부위에서 확인되었고, 45S rDNA는 염색체 4번의 단완 말단 부위에서 관찰되었다. Bicolor-FISH는 헐떡이풀 염색체상에 rDNA 유전자의 위치 확인에 매우 유용한 정보를 제공하는 기술로 사용되었다.