• Hip & pelvis
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• 제30권4호
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• pp.197-201
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• 2018

In Western patient populations, the reported incidence of imaging-demonstrated deep vein thrombosis (DVT) after total hip arthroplasty (THA) is as high as 70% without prophylaxis. The reported rates of symptomatic pulmonary embolism (PE) after THA in recent studies range from 0.6% to 1.5%, and the risk of fatal PE ranges from 0.11% to 0.19% in the absence of prophylaxis. Predisposing factors to DVT in western patients include advanced age, previous venous insufficiency, osteoarthritis, obesity, hyperlipidemia, dietary and genetic factors. However, Asian patients who have undergone THA have a strikingly low prevalence of DVT and virtually no postoperative PE. Some authors suggest low clinical prothrombotic risk factors and the absence of some DVT-related genetic factors in Asian patient populations decrease the risk of DVT, PE or both. In Korea, the prevalence of DVT after THA without thromboprophylaxis have ranges from 6.8% to 43.8%, and asymptomatic PE have ranges from 0% to 12.9%; there have been only two reported cases of fatal PE. Deep-wound infections resulting from postoperative hematomas or prolonged wound drainage have been reported with routine thromboprophylaxis. The prevalence of DVT differs varies based on patient ethnicity. Guidelines for the use of thromboprophylaxis were altered and focus on the potential value of outcomes compared with possible complications (e.g., bleeding).

• 중환자간호학회지
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• 제4권1호
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• pp.75-87
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• 2011

Purpose: This study was done to investigate the DVT-related knowledge and compliance of hospital nurses. Methods: A survey questionnaire was administrated to a convenience sample of 367 nurses working at 3 university hospitals and 4 general hospitals located in Busan. Results: The mean score of DVT-related knowledge was $16.86{\pm}$3.40$ points out of 26, with a percentage of correct answers of 64.8%. The mean score of DVT-related compliance was $21.40{\pm}6.42$ points out of 32. There was a significant correlation between hospital nurses' DVTrelated knowledge and compliance (r=.309, p=.000). The factors for predicting hospital nurses' DVT-related compliance included knowledge of treatment and care areas, the subcategories of DVT knowledge (${\beta}$=.214), knowledge of the area of risk factors (${\beta}$=.105), whether to perform DVT prevention and treatment based on protocols (${\beta}$=.193), the existence of DVT protocols (${\beta}$=.168) and the degree of interest in DVT (${\beta}$=.102) and the total explanatory power of these was 21.3%. Conclusion: To improve compliance on preventing DVT effectively, it is necessary to improve nurses' DVT-related knowledge and interest in DVT through appropriate education. And, it is necessary to develop standardized protocols and guidelines.

• 한국연초학회지
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• 제24권2호
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• pp.130-132
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• 2002

The new burley tobacco variety, KB 301, was developed by the cross combination ’(Ky 17 x TI 1068)F$_4$ x TC 613’. The modified pedigree breeding method was used in the selection procedures. The agronomic traits and chemical constituents of KB 301 were very similar to those of Burley 21. But KB 301 had significantly higher content of total DVT than Burley 21. KB 301 was also resistant to black shank, TMV and PVY.

• 한방재활의학과학회지
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• 제25권2호
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• pp.197-203
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• 2015

Objectives The objective of this study is to report the deep vein thrombosis (DVT) after total knee replacement (TKR) in a patient undergoing Korean medical rehabilitation. Methods A female patient who had total knee replacement (TKR) was treated by Korean medical rehabilitation with protocol. After fifteen days treatment, deep vein thrombosis (DVT) was suspected. Therefore, CT venography was performed. Results After Korean medical rehabilitation, pain was decreased. But also occurred deep vein thrombosis (DVT) as a complication. Conclusions We present a case of deep vein thrombosis (DVT) after total knee replacement (TKR) in a patient undergoing Korean medical rehabilitation. There is a limit that this study hasn't sufficient number of cases. Further studies will be needed.

• Asian Pacific Journal of Cancer Prevention
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• 제15권4호
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• pp.1655-1658
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• 2014

Objective: To find a more appropriate alternative to D-dimer cutoff value for the diagnosis of deep vein thrombosis (DVT) in cancer patients. Methods: A total of 711 cancer patients with symptoms suspicious of DVT were included in the study. D-dimer levels were assessed using ELISA. All patients were subjected to imaging procedures. Results: Among 711 patients with cancer, 466 (65.5%) were females and 245 (34.5%) were males, with an average age of $57.3{\pm}13.23$ years. The mean age in the DVT group was significantly higher than in the non-DVT group (P<0.05). The D-dimer levels of the DVT group were significantly higher than those of the non-DVT group (P<0.05). The incidence rate of DVT varied significantly according to cancer type (P<0.05). Increasing age and lung cancer were significantly correlated with D-dimer levels (P<0.05), and a one-year increase in age was associated with a 14.28 ng/ml increase in the D-dimer value. The optimal cutoff point for D-dimer was found to be 981 ng/ml, with a sensitivity of 86.4%, specificity of 79.4%, and accuracy of 82.6%. If the D-dimer cutoff point was set to 981ng/ml, the specificity would increase from 61.8% to 85.5% without loss of sensitivity in patients aged 40 years or younger. In patients aged more than 40 years, the new cutoff almost doubled the specificity with slightly reduced sensitivity. Conclusion: In cancer patients, a new cutoff value of 981 ng/ml effectively improved the exclusion of DVT, especially for patients aged more than 40 years.

• 한국식품저장유통학회지
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• 제31권3호
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• pp.423-432
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• 2024

본 연구에서는 육가공 산업의 필수 공정인 냉동육 해동 시 발생하는 식육의 품질 저하를 최소화하기 위하여 진공 텀블링 해동 방식을 적용하고자 산업용 국산 임펠러-진공 텀블러(DVT, 6 ton)를 고안하고 이를 이용하여 해동한 냉동 돈육의 품질 특성을 현재 상업적으로 이용하는 자연해동(NTA)과 수입산 진공 텀블링 해동(IVT) 특성과 비교 분석하였다. 냉동 돈육(앞다리)의 자연해동 시간은 4,200분인데 반하여 DVT 해동은 165분이 소요되어 냉동 돈육 해동시간이 약 25배 단축되었다. 해동 시 돈육의 드립감량은 자연해동 2.08%에 비하여 DVT 해동은 0.85%로 낮아져 높은 해동 수율(99.2%)을 얻을 수 있었다. 자연 해동육에서 대장균군이 0.10±0.17 log CFU/g 수준으로 검출된데 반하여 DVT 해동육의 pH는 5.92, 총균수 1.96±0.01 log CFU/g, 대장균군 불검출로 높은 신선도를 보였다. 또한, DVT 해동육의 지방산패도(TBARS) 0.31±0.01 MDA mg/kg와 단백질변패도(VBN) 5.67±1.98 mg%를 보여 자연해동 돈육(각각 0.42±0.01 MDA mg/kg와 6.86±0.00 mg%)에 비해 지방과 단백질 변패도를 유의적으로 낮출 수 있는 것으로 나타났다. DVT 해동육의 보수력은 97.50±0.90%로 자연해동육(95.24±0.03%)에 비해 유의적으로 높았다. 자연해동(NTA) 후 조리한 돈육은 경도 212.03±0.02 N과 씹힘성 885.36±0.80이 진공 텀블링(DVT, IVT) 해동육에 비하여 각각 6.1배와 4.7배 높게 나타나 진공 텀블링 해동이 부드러운 조직감을 갖는 식육을 생산할 수 있는 것으로 나타났다. 해동육과 이를 가열조리한 돈육의 미세구조(SEM)를 관찰한 결과, 진공 텀블링 해동(DVT, IVT) 시료에서 근원섬유의 손상이 적어 섬유배열과 간격이 촘촘한 구조를 나타냈다. 본 연구에서 국내 최초로 고안한 산업용 대용량 진공텀블러는 해동 시 근육 조직의 손상을 최소화하여 보수력을 높이고, 드립감량을 감소시켜 부드러운 조직감과 함께 생산 수율을 높일 수 있을 뿐만 아니라 미생물학적 및 이화학적 변패도를 최소화할 수 있어 고품질의 육제품 생산에 활용될 수 있을 것으로 보인다. 또한, 본 장치는 수입산 진공텀블러와 비교해 우수한 품질의 해동육을 생산할 수 있어 본 연구자료를 이용한 국산 기술 자립화, 제품 품질 개선 및 수율 향상 등 육가공 산업 발전에 기여할 수 있을 것이라 사료된다.

• Hip & pelvis
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• 제36권2호
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• pp.108-119
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• 2024

Purpose: The incidence of deep vein thrombosis (DVT) following total hip arthroplasty (THA) without chemoprophylaxis could be as high as 50% in Caucasians. However, according to several subsequent studies, the incidence of venous thromboembolic events (VTE) in Asians was much lower. The routine use of chemoprophylaxis, which could potentially cause increased bleeding, infection, and wound complications, has been questioned in low-incidence populations. The objective of this study is to determine the incidence of VTE after primary THA without chemoprophylaxis in an Asian population using a fast-track rehabilitation protocol and to verify the safety profile for use of 'mechanical prophylaxis alone' in patients with standard risk of VTE. Materials and Methods: This is a retrospective cohort study of 542 Hong Kong Chinese patients who underwent primary THA without chemoprophylaxis. All patients received intermittent pneumatic compression and graduated compression stockings as mechanical prophylaxis. Multimodal pain management was applied in order to facilitate early mobilisation. Routine duplex ultrasonography was performed between the fourth and seventh postoperative day for detection of proximal DVT. Results: All patients were Chinese (mean age, 63.0±11.9 years). Six patients developed proximal DVT (incidence rate, 1.1%). None of the patients had symptomatic or fatal pulmonary embolism. Conclusion: The incidence of VTE after primary THA without chemical prophylaxis can be low in Asian populations when following a fast-track rehabilitation protocol. Mechanical prophylaxis alone can be regarded as a reasonably safe practice in terms of a balanced benefit-to-risk ratio for Asian patients with standard risk of VTE.

• Asian Pacific Journal of Cancer Prevention
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• 제16권15호
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• pp.6705-6709
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• 2015

Background: Venous thromboembolisms (VTEs) constitute a group of diseases including deep vein thrombosis (DVT) and pulmonary embolism (PE). They regarded as the second leading cause of death in cancer patients and several studies have confirmed that VTEs have a negative impact on survival and recurrent rate in both ovarian and endometrial cancer cases. The incidence of VTEs differs worldwide and depends on several risk factors including race, underlying disease, lifestyle, body weight, BMI and genetic risk factors. There is heterogeneity of DVT rates between Asian and Western countries. This study was conducted in order to evaluate the character and incidence of VTEs in gynecologic oncology patients in King Chulalongkorn Memorial Hospital over a 10 year period. Materials and Methods: A retrospective chart review was performed with VTEs defined as objective diagnosis of acute DVT or PE with typical symptoms and signs. Diagnoses were approved byan internist and/or confirmed with imaging studies. Data from both outpatient and inpatient sessions of the affected cases from January 2004 to December 2013 were extracted. General characteristics of the patients were collected with details of the diseases, types of cancer, stage, date of diagnosis of cancer, operative data, treatment outcome, progression free survival and overall survival. Results: Thirty cases of VTEs were identified in a total 2,316 gynecologic oncology cases. The incidence of symptomatic VTEs in total gynecologic oncology patients in our institution is 1.295%. The incidence of VTEs in ovarian cancer patients in our institution was 5.9%. Duration for VTE detection ranged from 13 months before diagnosis of cancer to 33 months after diagnosis of cancer. Most of the VTE cases were detected in ovarian cancer patients (60%). The most common cell type was adenocarcinoma (moderately to poorly differentiated) which accounted for 26.7% of the cases. The second most common cell type was clear cell carcinoma with 23.3% of the cases. Thirty percent of VTE cases developed before cancer was diagnosed, 20% were diagnosed at the same time as cancer detection and fifty percent developed after cancer was diagnosed. Median disease free survival of the gynecologic oncology patients with VTE was 7.5 months. Median overall survival (OS) was 12 months. Median progession free survivals of DVT and PE groups were 11.5 and 5.5 months, respectively. OS of DVT and PE was 12.0 and 11.5 months respectively. Conclusions: The incidence of VTE in Asian countries is believed to be lower than in European or Western countries. From our retrospective review, the incidence of VTEs in all types of gynecologic oncology was 1.295%, much lower than reported in the West. The reason for the lower incidence may genetic differences. Another factor is that VTE in this review was symptomatic, which is less than asymptomatic VTE. More than half of VTEs in this study developed in ovarian cancer patients. The results are compatible with earlier reports that among gynecologic malignancies, the incidence of VTE is highest in ovarian cancer.

• Journal of Chest Surgery
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• 제34권9호
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• pp.711-715
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• 2001

배경: 심부정맥 혈전증인 증세발현 초기에 적절히 치료하면 완치될 수 있는 질환이다. 만성 심부정맥 혈전증을 장기 추적해 보면 그 결과가 정맥판막 폐쇄부전증, 정맥성 파행, 울혈성 궤양 및 하지 부종 등의 심각한 합병증을 유발한다는 것을 알 수 있다. 혈전 용해술은 용해제를 직접 원하는 혈전 부위에 주입하는 적극적인 치료방법이다. 이 연구의 목적은 유로키나제를 카테터를 통하여 주입하는 방법으로 급성 심부정맥 혈전증을 치료하여 그 효과를 확인하고자 하였다. 대상 및 방법: 급성 심부정맥 혈전증으로 진단받고, 선택적 혈전 용해술에 금기 사항에 없는 5명의 환자를 대상으로 하였다. 결과: 임상적으로 대부분의 혈전을 녹이는데 성공하였다. 총 혈전용해제 투여시간을 평균 2.0$\pm$0.6일 이었고, 유로키나제 사용량은 평균 590만$\pm$245만 IU였다. May-Therner 증후군으로 진단한 4명의 환자에게 총 5개의 스텐트를 삽입하였다. 시술 후 혈뇨가 2예, 천자부위의 혈종이 1예 등이 있었으나 모두 자연 소실되었다. 결론: 급성 심부정맥 혈전증에서 카테터를 이용한 혈전 용해술은 매우 유용한 치료방법이다.

• 한국연초학회지
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• 제19권1호
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• pp.57-63
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• 1997

The composition of leaf surface lipid in Flue-cured tobacco and their changes during curing was investigated. The flue-cured variety, Nicotiana tabacum cv. NC 82 was cultivated at Eumsung experiment station in 1996. The samples of riced leaves with different stalk Position(Lugs, Cutter, Leaf and Tips) and different curing stage at half yellowing(24hr), yellowing(48 hr) , color axing(72 hr), midrib drying(96 hr) and cured(120 hr) were collected for analysis of leaf surface lipid. $\alpha$ - and $\beta$ - 4, 8, 13-Duvatriene-1, 3-diol($\alpha$, $\beta$-DVT) were major components in leaf surface lipid extracted with methylene chloride and sugar ester was detected slightly DVT content was increased with ascending stalk position, but increasing trend of total hydrocarbon was not observed. While DVT was decreased throughout curing of tobacco leaves, hydrocarbon content did not show significant change during curing process. Twenty-two duvane compounds were detected by capillary GC in duvane fraction isolated from leaf surface lipid and of which 11 compounds were identified by GC-MS. These compounds were decreased with curing in all stalk position.