subject:(blood loss)

Leiden University

1. Gielen, C. Blood loss in coronary artery bypass surgery: etiology, diagnosis and prevention.

Degree: 2016, Leiden University

► Blood loss requiring transfusions, and, in some cases even surgical re-exploration, is relatively common after cardiac surgery. There are several factors associated with this blood… (more)

Subjects/Keywords: Cardiac surgery, Blood loss; Cardiac surgery, Blood loss

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APA (6^th Edition):

Gielen, C. (2016). Blood loss in coronary artery bypass surgery: etiology, diagnosis and prevention. (Doctoral Dissertation). Leiden University. Retrieved from http://hdl.handle.net/1887/44703

Chicago Manual of Style (16^th Edition):

Gielen, C. “Blood loss in coronary artery bypass surgery: etiology, diagnosis and prevention.” 2016. Doctoral Dissertation, Leiden University. Accessed December 13, 2019. http://hdl.handle.net/1887/44703.

MLA Handbook (7^th Edition):

Gielen, C. “Blood loss in coronary artery bypass surgery: etiology, diagnosis and prevention.” 2016. Web. 13 Dec 2019.

Vancouver:

Gielen C. Blood loss in coronary artery bypass surgery: etiology, diagnosis and prevention. [Internet] [Doctoral dissertation]. Leiden University; 2016. [cited 2019 Dec 13]. Available from: http://hdl.handle.net/1887/44703.

Council of Science Editors:

Gielen C. Blood loss in coronary artery bypass surgery: etiology, diagnosis and prevention. [Doctoral Dissertation]. Leiden University; 2016. Available from: http://hdl.handle.net/1887/44703

University of Georgia

2. Plumber, Husain Shabbir. Effects of broiler slaughter byproducts, bleed time and scald temperature on poultry processing wastewater.

Degree: MS, Poultry Science, 2011, University of Georgia

URL: http://purl.galileo.usg.edu/uga_etd/plumber_husain_s_201108_ms

► The U.S. poultry industry uses an average of 26 L (7 gal) of potable water per broiler during processing. Each step in the process generates… (more)

Subjects/Keywords: Poultry processing; wastewater; blood loss; feathers; viscera; COD; TS; TSS

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APA (6^th Edition):

Plumber, H. S. (2011). Effects of broiler slaughter byproducts, bleed time and scald temperature on poultry processing wastewater. (Masters Thesis). University of Georgia. Retrieved from http://purl.galileo.usg.edu/uga_etd/plumber_husain_s_201108_ms

Chicago Manual of Style (16^th Edition):

Plumber, Husain Shabbir. “Effects of broiler slaughter byproducts, bleed time and scald temperature on poultry processing wastewater.” 2011. Masters Thesis, University of Georgia. Accessed December 13, 2019. http://purl.galileo.usg.edu/uga_etd/plumber_husain_s_201108_ms.

MLA Handbook (7^th Edition):

Plumber, Husain Shabbir. “Effects of broiler slaughter byproducts, bleed time and scald temperature on poultry processing wastewater.” 2011. Web. 13 Dec 2019.

Vancouver:

Plumber HS. Effects of broiler slaughter byproducts, bleed time and scald temperature on poultry processing wastewater. [Internet] [Masters thesis]. University of Georgia; 2011. [cited 2019 Dec 13]. Available from: http://purl.galileo.usg.edu/uga_etd/plumber_husain_s_201108_ms.

Council of Science Editors:

Plumber HS. Effects of broiler slaughter byproducts, bleed time and scald temperature on poultry processing wastewater. [Masters Thesis]. University of Georgia; 2011. Available from: http://purl.galileo.usg.edu/uga_etd/plumber_husain_s_201108_ms

3. Rizzo, Maria Fernanda Cerniawsky Innocencio. Emprego do ácido tranexâmico em cães submetidos à osteotomias corretivas.

Degree: Mestrado, Clínica Cirúrgica Veterinária, 2014, University of São Paulo

URL: http://www.teses.usp.br/teses/disponiveis/10/10137/tde-05012015-113509/ ;

►

A pressão sanguínea é responsável pela manutenção de importantes funções corpóreas. Uma perda de sangue que leve à queda brusca dessa pressão resulta em ineficiente… (more)

▼

A pressão sanguínea é responsável pela manutenção de importantes funções corpóreas. Uma perda de sangue que leve à queda brusca dessa pressão resulta em ineficiente perfusão tecidual e, consequentemente, em déficit de oxigênio e acúmulo de metabólitos. Quando em excesso, a perda sanguínea pode levar o paciente ao choque e a complicações anestésicas e cirúrgicas. O uso de um fármaco antifibrinolítico, como o ácido tranexâmico, pode minimizar o sangramento transoperatório, e é preferível à transfusão sanguínea. Este composto já é amplamente utilizado em cirurgias ortopédicas humanas, que apresentam alto grau de sangramento e geralmente requerem a transfusão sanguínea. O objetivo deste trabalho é avaliar a eficácia da utilização do ácido tranexâmico em cães submetidos a cirurgias com grande potencial de perda sanguínea. Foram incluídos 21 cães com ruptura de ligamento ou luxação de patela, com necessidade de osteotomia corretiva, distribuídos em 2 grupos. O primeiro grupo recebeu ácido tranexâmico em bolus, no momento da indução, na dose de 10 mg/kg seguido de infusão contínua na taxa de 1 mg/kg/hora já o segundo recebeu solução salina 0,9% no volume correspondente ao volume do fármaco. A estimativa da perda sanguínea foi feita através da pesagem dos campos cirúrgicos, compressas e gases quando secos e, posteriormente, quando embebidos em sangue, além disso foram dosadas a concentração sérica de lactato, tempos de coagulação, hemograma e hemogasometria, nos dados momentos: TB (basal), T1 (1 hora após a indução anestésica) e T2 (imediatamente ao final do procedimento cirúrgico). Utilizou-se análise de variância para medidas repetidas (ANOVA), seguido pelos testes de Tukey e t-Student, valores de p<0,05 expressam diferença estatística. Não houve diferença estatística entre os grupos em relação a nenhum dos parâmetros avaliados exceto as idades dos animais que foram significativamente mais velhos no grupo GSF quando comparados ao grupo GAT, também não houve diferença em relação à quantidade de sangue perdida nos diferentes grupos. Sendo assim, o ácido tranexâmico não foi eficaz em diminuir a perda sanguínea em cães submetidos a osteotomias corretivas.

Blood pressure is responsible for the maintenance of important body functions. A blood loss leading to low blood pressure results in ineffective tissue perfusion, oxygen deficit and accumulation of metabolites. When in excess, blood loss can lead to hypovolemic shock and surgical and anesthetic complications. The use of an antifibrinolytic drug, such as tranexamic acid, can minimize bleeding during surgery, and it is preferable to blood transfusion. This drug is widely used in human orthopedic surgery, with a high degree of bleeding wich often requires blood transfusion. The aim of this study is to evaluate the effectiveness of the use of tranexamic acid in dogs undergoing surgery with great potential of blood loss. 21 animals with ruptured cruciate ligament or patellar luxation, undergoing corrective osteotomy, were divided in 2 groups. The first group received tranexamic…

Advisors/Committee Members: Fantoni, Denise Tabacchi.

Subjects/Keywords: Ácido tranexâmico; Anestesia; Anesthesia; Blood loss; Perda sanguínea; Tranexamic acid

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APA (6^th Edition):

Rizzo, M. F. C. I. (2014). Emprego do ácido tranexâmico em cães submetidos à osteotomias corretivas. (Masters Thesis). University of São Paulo. Retrieved from http://www.teses.usp.br/teses/disponiveis/10/10137/tde-05012015-113509/ ;

Chicago Manual of Style (16^th Edition):

Rizzo, Maria Fernanda Cerniawsky Innocencio. “Emprego do ácido tranexâmico em cães submetidos à osteotomias corretivas.” 2014. Masters Thesis, University of São Paulo. Accessed December 13, 2019. http://www.teses.usp.br/teses/disponiveis/10/10137/tde-05012015-113509/ ;.

MLA Handbook (7^th Edition):

Rizzo, Maria Fernanda Cerniawsky Innocencio. “Emprego do ácido tranexâmico em cães submetidos à osteotomias corretivas.” 2014. Web. 13 Dec 2019.

Vancouver:

Rizzo MFCI. Emprego do ácido tranexâmico em cães submetidos à osteotomias corretivas. [Internet] [Masters thesis]. University of São Paulo; 2014. [cited 2019 Dec 13]. Available from: http://www.teses.usp.br/teses/disponiveis/10/10137/tde-05012015-113509/ ;.

Council of Science Editors:

Rizzo MFCI. Emprego do ácido tranexâmico em cães submetidos à osteotomias corretivas. [Masters Thesis]. University of São Paulo; 2014. Available from: http://www.teses.usp.br/teses/disponiveis/10/10137/tde-05012015-113509/ ;

University of Western Ontario

4. Phillips, Joel T. Comparing Mid Lumbar Interbody Fusion (MIDLF) with Traditional Posterior Lumbar Interbody Fusion (PLIF).

Degree: 2017, University of Western Ontario

URL: https://ir.lib.uwo.ca/etd/4541

► Mid-lumbar interbody fusion (MIDLF) uses a novel cortical bone trajectory (CBT) screw that provides robust fixation that is less dependent on cancellous bone quality than… (more)

Subjects/Keywords: MIDLF; CBT; PLIF; blood loss; operative time; complications; Orthopedics; Surgery

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APA (6^th Edition):

Phillips, J. T. (2017). Comparing Mid Lumbar Interbody Fusion (MIDLF) with Traditional Posterior Lumbar Interbody Fusion (PLIF). (Thesis). University of Western Ontario. Retrieved from https://ir.lib.uwo.ca/etd/4541

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Phillips, Joel T. “Comparing Mid Lumbar Interbody Fusion (MIDLF) with Traditional Posterior Lumbar Interbody Fusion (PLIF).” 2017. Thesis, University of Western Ontario. Accessed December 13, 2019. https://ir.lib.uwo.ca/etd/4541.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Phillips, Joel T. “Comparing Mid Lumbar Interbody Fusion (MIDLF) with Traditional Posterior Lumbar Interbody Fusion (PLIF).” 2017. Web. 13 Dec 2019.

Vancouver:

Phillips JT. Comparing Mid Lumbar Interbody Fusion (MIDLF) with Traditional Posterior Lumbar Interbody Fusion (PLIF). [Internet] [Thesis]. University of Western Ontario; 2017. [cited 2019 Dec 13]. Available from: https://ir.lib.uwo.ca/etd/4541.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Phillips JT. Comparing Mid Lumbar Interbody Fusion (MIDLF) with Traditional Posterior Lumbar Interbody Fusion (PLIF). [Thesis]. University of Western Ontario; 2017. Available from: https://ir.lib.uwo.ca/etd/4541

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Manchester

5. Hancock, Angela. How much is too much? Exploring clinical recognition of excessive maternal blood loss during childbirth.

Degree: 2017, University of Manchester

URL: http://www.manchester.ac.uk/escholar/uk-ac-man-scw:312022

► The University of Manchester Name: Angela Hancock Award: Doctor of Philosophy Research Title: How much is too much? Exploring clinical recognition of excessive maternal blood… (more)

▼ The University of Manchester Name: Angela Hancock Award: Doctor of Philosophy Research Title: How much is too much? Exploring clinical recognition of excessive maternal blood loss following childbirth. Submission Date: July 2017 ABSTRACT Background: Postpartum haemorrhage (PPH) is the leading cause of maternal death worldwide. For every woman that dies, 20 or 30 more will experience morbidity. Severe PPH is increasing and is the leading cause of severe maternal morbidity in the UK. Rapid recognition of PPH is essential, but concealed bleeding, underestimation of blood loss and a failure to appreciate the physiological effects of blood loss, lead to delays in recognition and treatment. Experts believe that most deaths from PPH could be avoided by earlier diagnosis, but there is a lack of evidence on how to achieve this. Aims: To explore the experiences of those involved in evaluating blood loss during childbirth; and to develop and test a theory of blood loss evaluation and PPH recognition, as a prerequisite to developing strategies to support earlier diagnosis. Study Design: A sequential, exploratory mixed methods design was used. Methods: Qualitative methods included 8 focus groups and 19 one-to-one semi-structured interviews, conducted with 50 participants. These included: women and their birth partners (recruited from Liverpool Womenâ€™s Hospital); and health professionals (midwives and obstetricians recruited from Saint Maryâ€™s Hospital, Manchester). A purposive sampling strategy was used to recruit women, who had experienced vaginal birth with or without PPH, and health professionals, with varying levels of experience in blood loss evaluation and PPH management. A snowball sampling strategy was used to recruit the birth partners of women participants. Phase one was completed from June to September 2014. All discussions were audio-recorded and transcribed verbatim. Data were managed using NVivo 10 qualitative data analysis software, which also supported the Framework approach to analysis and interpretation. Quantitative methods were used in phase two and involved 10 midwives and 11 obstetricians, recruited from Liverpool Womenâ€™s Hospital, during February and March 2015. Two scenarios, one of fast and one of slow blood loss, were presented to the sample using clinical simulation with the NOELLEÂ® childbirth simulator, in a pilot, randomised, cross-over study. Participants also completed three questions about the use of the NOELLEÂ® mannequin for these types of scenarios. IBM SPSS Statistics version 23 software was used for quantitative data management and to estimate descriptive statistics. Numerical crossover data were copied into StatsDirect software, to perform the crossover analyses. Results: Women and birth partners were very perceptive to blood loss but felt ill-prepared for the reality of bleeding, with many experiencing negative emotional responses to both PPH and the lochia. Non-verbal communication from staff was used by women and their birth partners to interpret the seriousness of their blood loss.… Advisors/Committee Members: Lavender, Tina.

Subjects/Keywords: Postpartum haemorrhage; Excessive blood loss; Recognition; Clinical decision-making

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Hancock, A. (2017). How much is too much? Exploring clinical recognition of excessive maternal blood loss during childbirth. (Doctoral Dissertation). University of Manchester. Retrieved from http://www.manchester.ac.uk/escholar/uk-ac-man-scw:312022

Chicago Manual of Style (16^th Edition):

Hancock, Angela. “How much is too much? Exploring clinical recognition of excessive maternal blood loss during childbirth.” 2017. Doctoral Dissertation, University of Manchester. Accessed December 13, 2019. http://www.manchester.ac.uk/escholar/uk-ac-man-scw:312022.

MLA Handbook (7^th Edition):

Hancock, Angela. “How much is too much? Exploring clinical recognition of excessive maternal blood loss during childbirth.” 2017. Web. 13 Dec 2019.

Vancouver:

Hancock A. How much is too much? Exploring clinical recognition of excessive maternal blood loss during childbirth. [Internet] [Doctoral dissertation]. University of Manchester; 2017. [cited 2019 Dec 13]. Available from: http://www.manchester.ac.uk/escholar/uk-ac-man-scw:312022.

Council of Science Editors:

Hancock A. How much is too much? Exploring clinical recognition of excessive maternal blood loss during childbirth. [Doctoral Dissertation]. University of Manchester; 2017. Available from: http://www.manchester.ac.uk/escholar/uk-ac-man-scw:312022

6. Landis, Alison. Postpartum Hemorrhage: A Change Strategy.

Degree: MSN, 2018, University of San Francisco

URL: https://repository.usfca.edu/capstone/793

► <a></a> Problem: Postpartum hemorrhage (PPH) is one of the leading causes of severe maternal morbidity and mortality. It is unpredictable and can occur with… (more)

▼ <a></a> Problem: Postpartum hemorrhage (PPH) is one of the leading causes of severe maternal morbidity and mortality. It is unpredictable and can occur with or without identified risk factors. A postpartum hemorrhage can happen rapidly, therefore it is important for the team to be trained and prepared to recognize and respond quickly to the situation, by quantifying blood loss at deliveries. Context:The California Maternal Quality Care Collaborative (CMQCC) has created a toolkit to better prepare maternal child health teams for readiness, recognition, response, and reporting when a hemorrhage occurs. This program was rolled out on the unit in 2015 resulting in a dramatic decrease in the postpartum hemorrhage rate, yet the unit was not able to sustain the changes. Intervention: 100% of staff from all disciplines were retrained with an educational presentation of evidence-based practice on quantifying blood loss and a review of postpartum hemorrhage medications. Education, skills stations with new scales and a weighing worksheet, followed with a hemorrhage drill were completed. The team was asked to begin quantifying with a birth pause after the neonate’s delivery. The expectation was to quantify at every delivery. Results: Since the completion of retraining and the roll out of the new equipment, there has been an increased adherence to the practice expectations, from 60% to 80%. The team is practicing the birth pause after the delivery of the neonate and quantifying blood loss. The fallouts for quantifying blood loss were emergency and precipitous deliveries, as the birth pause was not done. Conclusion: The collaborative efforts of the Family Birth Center team made this project a success. Sharing the evidenced-based “why” of a practice change, along with unit data motivated the team to adhere to the quantification process. With support from leadership and the unit-based council teams the sustainability of this project has great potential and feasibility. The practice changes made are a standard of care, based on CMQCC recommendations to ensure the patient has the safest and highest quality of care during their stay. The team will continue the quality improvement work until it becomes a standard of practice and a part of the daily culture in order to have a positive effect on morbidity and mortality of our perinatal population. Advisors/Committee Members: Nancy Taquino.

Subjects/Keywords: Postpartum hemorrhage; Quantifying; Blood loss; Maternal, Child Health and Neonatal Nursing

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Landis, A. (2018). Postpartum Hemorrhage: A Change Strategy. (Thesis). University of San Francisco. Retrieved from https://repository.usfca.edu/capstone/793

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Landis, Alison. “Postpartum Hemorrhage: A Change Strategy.” 2018. Thesis, University of San Francisco. Accessed December 13, 2019. https://repository.usfca.edu/capstone/793.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Landis, Alison. “Postpartum Hemorrhage: A Change Strategy.” 2018. Web. 13 Dec 2019.

Vancouver:

Landis A. Postpartum Hemorrhage: A Change Strategy. [Internet] [Thesis]. University of San Francisco; 2018. [cited 2019 Dec 13]. Available from: https://repository.usfca.edu/capstone/793.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Landis A. Postpartum Hemorrhage: A Change Strategy. [Thesis]. University of San Francisco; 2018. Available from: https://repository.usfca.edu/capstone/793

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Kansas

7. Salisbury, Adam Christopher. Association of Diagnostic Blood Loss from Phlebotomy and Hospital-Acquired Anemia During Admission with Acute Myocardial Infarction.

Degree: MS, Clinical Research, 2010, University of Kansas

URL: http://hdl.handle.net/1808/10030

► Introduction: Acute, hospital-acquired anemia (HAA) during admission with AMI is associated with higher mortality and worse health status, and often occurs in the absence of… (more)

▼ Introduction: Acute, hospital-acquired anemia (HAA) during admission with AMI is associated with higher mortality and worse health status, and often occurs in the absence of recognized bleeding. Diagnostic blood loss from phlebotomy is readily modifiable, but the relationship between diagnostic blood loss and HAA is unclear. Methods: We studied 17,676 AMI patients in the Health Facts database who were not anemic at admission and did not undergo coronary bypass surgery, focusing on the development of moderate-severe HAA (Hgb decline to < 11 g/dl during hospitalization), since this degree of HAA has been shown to be prognostically important. Health Facts included the lab tests, as well as date and time of every blood draw. Patients¡¯ total diagnostic blood loss was calculated by multiplying the number and types of blood tubes drawn by the standard blood volume for each tube type. Hierarchical modified Poisson regression was used to test the association between phlebotomy volume and the development of moderate-severe HAA, accouting for clustering by hospital site and adjusting for demographics, comorbidities, disease severity and treatment variables. Sensitivity analyses were conducted after excluding patients with documented bleeding and after stratifying by length of stay (LOS). Results: Moderate-severe HAA developed in 3,549 patients (20%). Total diagnostic blood loss ranged from 12ml to 1864ml, and mean phlebotomy volume was significantly higher in patients with (182¡À149 ml) vs. without HAA (86.2¡À55.9 ml, p<0.001). The risk of developing HAA was greater with increasing phlebotomy volume (per 50 ml: RR 1.17 (95% CI1.13-1.21)). After multivariable adjustment, each 50 ml of blood drawn for laboratory tests was associated with a 14% increase in risk of HAA (RR 1.14 (95% CI 1.11-1.17)). Results were similar in patients without documented bleeding (RR 1.14 (95% CI1.11-1.16) per 50 ml) and stratified by LOS (LOS ¡Ü 4 days: RR 1.30 (95% CI 1.15-1.46) per 50 ml; LOS ¡Ý 4 days RR 1.11 (95% CI 1.09-1.14) per 50 ml). Conclusion: Blood loss from more frequent phlebotomy is independently associated with the development of moderate-severe HAA. These findings suggest that HAA may be preventable by implementing strategies to limit both the number of blood draws and the volume of blood removed for diagnostic testing. Advisors/Committee Members: Lai, Sue Min (advisor), Spertus, John A (cmtemember), Kosiborod, Mikhail (cmtemember), Jones, Philip G (cmtemember).

Subjects/Keywords: Medicine; Anemia; Diagnostic blood loss; Hemoglobin; Myocardial infarction; Phlebotomy

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Salisbury, A. C. (2010). Association of Diagnostic Blood Loss from Phlebotomy and Hospital-Acquired Anemia During Admission with Acute Myocardial Infarction. (Masters Thesis). University of Kansas. Retrieved from http://hdl.handle.net/1808/10030

Chicago Manual of Style (16^th Edition):

Salisbury, Adam Christopher. “Association of Diagnostic Blood Loss from Phlebotomy and Hospital-Acquired Anemia During Admission with Acute Myocardial Infarction.” 2010. Masters Thesis, University of Kansas. Accessed December 13, 2019. http://hdl.handle.net/1808/10030.

MLA Handbook (7^th Edition):

Salisbury, Adam Christopher. “Association of Diagnostic Blood Loss from Phlebotomy and Hospital-Acquired Anemia During Admission with Acute Myocardial Infarction.” 2010. Web. 13 Dec 2019.

Vancouver:

Salisbury AC. Association of Diagnostic Blood Loss from Phlebotomy and Hospital-Acquired Anemia During Admission with Acute Myocardial Infarction. [Internet] [Masters thesis]. University of Kansas; 2010. [cited 2019 Dec 13]. Available from: http://hdl.handle.net/1808/10030.

Council of Science Editors:

Salisbury AC. Association of Diagnostic Blood Loss from Phlebotomy and Hospital-Acquired Anemia During Admission with Acute Myocardial Infarction. [Masters Thesis]. University of Kansas; 2010. Available from: http://hdl.handle.net/1808/10030

University of Manchester

8. Hancock, Angela. How much is too much? : exploring clinical recognition of excessive maternal blood loss during childbirth.

Degree: PhD, 2017, University of Manchester

URL: https://www.research.manchester.ac.uk/portal/en/theses/how-much-is-too-much-exploring-clinical-recognition-of-excessive-maternal-blood-loss-during-childbirth(664934eb-a495-4895-b02b-e44e5cfc7295).html ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.764488

► Background: Postpartum haemorrhage (PPH) is the leading cause of maternal death worldwide. For every woman that dies, 20 or 30 more will experience morbidity. Severe… (more)

▼ Background: Postpartum haemorrhage (PPH) is the leading cause of maternal death worldwide. For every woman that dies, 20 or 30 more will experience morbidity. Severe PPH is increasing and is the leading cause of severe maternal morbidity in the UK. Rapid recognition of PPH is essential, but concealed bleeding, underestimation of blood loss and a failure to appreciate the physiological effects of blood loss, lead to delays in recognition and treatment. Experts believe that most deaths from PPH could be avoided by earlier diagnosis, but there is a lack of evidence on how to achieve this. Aims: To explore the experiences of those involved in evaluating blood loss during childbirth; and to develop and test a theory of blood loss evaluation and PPH recognition, as a prerequisite to developing strategies to support earlier diagnosis. Study Design: A sequential, exploratory mixed methods design was used. Methods: Qualitative methods included 8 focus groups and 19 one-to-one semi-structured interviews, conducted with 50 participants. These included: women and their birth partners (recruited from Liverpool Women's Hospital); and health professionals (midwives and obstetricians recruited from Saint Mary's Hospital, Manchester). A purposive sampling strategy was used to recruit women, who had experienced vaginal birth with or without PPH, and health professionals, with varying levels of experience in blood loss evaluation and PPH management. A snowball sampling strategy was used to recruit the birth partners of women participants. Phase one was completed from June to September 2014. All discussions were audio-recorded and transcribed verbatim. Data were managed using NVivo 10 qualitative data analysis software, which also supported the Framework approach to analysis and interpretation. Quantitative methods were used in phase two and involved 10 midwives and 11 obstetricians, recruited from Liverpool Women's Hospital, during February and March 2015. Two scenarios, one of fast and one of slow blood loss, were presented to the sample using clinical simulation with the NOELLEÂ® childbirth simulator, in a pilot, randomised, cross-over study. Participants also completed three questions about the use of the NOELLEÂ® mannequin for these types of scenarios. IBM SPSS Statistics version 23 software was used for quantitative data management and to estimate descriptive statistics. Numerical crossover data were copied into StatsDirect software, to perform the crossover analyses. Results: Women and birth partners were very perceptive to blood loss but felt ill-prepared for the reality of bleeding, with many experiencing negative emotional responses to both PPH and the lochia. Non-verbal communication from staff was used by women and their birth partners to interpret the seriousness of their blood loss. Health professionals: Recognition of PPH mainly occurs as an automatic response to the speed of blood flow. Volume of blood loss is often ascertained and used retrospectively after a PPH diagnosis, to validate the intuitive response and to…

Subjects/Keywords: 610; Postpartum haemorrhage; Excessive blood loss; Recognition; Clinical decision-making

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Hancock, A. (2017). How much is too much? : exploring clinical recognition of excessive maternal blood loss during childbirth. (Doctoral Dissertation). University of Manchester. Retrieved from https://www.research.manchester.ac.uk/portal/en/theses/how-much-is-too-much-exploring-clinical-recognition-of-excessive-maternal-blood-loss-during-childbirth(664934eb-a495-4895-b02b-e44e5cfc7295).html ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.764488

Chicago Manual of Style (16^th Edition):

Hancock, Angela. “How much is too much? : exploring clinical recognition of excessive maternal blood loss during childbirth.” 2017. Doctoral Dissertation, University of Manchester. Accessed December 13, 2019. https://www.research.manchester.ac.uk/portal/en/theses/how-much-is-too-much-exploring-clinical-recognition-of-excessive-maternal-blood-loss-during-childbirth(664934eb-a495-4895-b02b-e44e5cfc7295).html ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.764488.

MLA Handbook (7^th Edition):

Hancock, Angela. “How much is too much? : exploring clinical recognition of excessive maternal blood loss during childbirth.” 2017. Web. 13 Dec 2019.

Vancouver:

Hancock A. How much is too much? : exploring clinical recognition of excessive maternal blood loss during childbirth. [Internet] [Doctoral dissertation]. University of Manchester; 2017. [cited 2019 Dec 13]. Available from: https://www.research.manchester.ac.uk/portal/en/theses/how-much-is-too-much-exploring-clinical-recognition-of-excessive-maternal-blood-loss-during-childbirth(664934eb-a495-4895-b02b-e44e5cfc7295).html ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.764488.

Council of Science Editors:

Hancock A. How much is too much? : exploring clinical recognition of excessive maternal blood loss during childbirth. [Doctoral Dissertation]. University of Manchester; 2017. Available from: https://www.research.manchester.ac.uk/portal/en/theses/how-much-is-too-much-exploring-clinical-recognition-of-excessive-maternal-blood-loss-during-childbirth(664934eb-a495-4895-b02b-e44e5cfc7295).html ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.764488

Universidade Federal de Mato Grosso do Sul

9. Coelho, Alan Augusto Kalife. Avaliação do uso da membrana de látex em área doadora de enxerto gengival livre .

Degree: 2014, Universidade Federal de Mato Grosso do Sul

URL: http://repositorio.cbc.ufms.br:8080/jspui/handle/123456789/2036

► O propósito deste trabalho foi avaliar a dor e o sangramento após a aplicação da biomembrana de látex natural com polilisina a 0,1% (BLN) em… (more)

▼ O propósito deste trabalho foi avaliar a dor e o sangramento após a aplicação da biomembrana de látex natural com polilisina a 0,1% (BLN) em áreas doadoras de enxerto gengival livre (EGL). Analisou-se, também, o tempo de aplicação e o custo desse material. Participaram deste estudo 32 pacientes com necessidade de enxerto gengival livre na mandíbula, bilateralmente, apresentando uma faixa de gengiva inserida ≤ 1 mm. Na primeira etapa cirúrgica, a área doadora foi a região palatina direita e a receptora do mesmo lado, tendo a proteção das regiões apenas com o cimento cirúrgico (controle). Passados 30 dias, realizou - se outra intervenção, agora do lado esquerdo, tendo a BLN como proteção da área doadora, previamente ao cimento cirúrgico (teste). Depois de cada cirurgia foi entregue aos pacientes um questionário avaliando o grau de dor, pelo uso da escala analógica visual, e do sangramento pós-operatório, pela presença ou ausência. O tempo de cada cirurgia foi cronometrado e o custo do cm2 da BLN foi comparando com outros quatro materiais. Fez-se a análise estatística usando os testes Wilcoxon, Mann-Whitney e Friedman, seguido pelo pós-teste de Dunn, para a dor e sangramento. Para avaliar o tempo decorrido aplicou-se o teste Kolmogorov-Smirnov, seguido pelo ANOVA (um critério). Na avaliação da dor os resultados demonstraram maior duração e intensidade no grupo controle que no grupo teste (p<0,0001). No quesito sangramento o grupo controle apresentou maior duração e índices em relação ao teste, com diferença estatística muito significante (p=0,011). Na cronometragem do tempo dos procedimentos cirúrgicos obteve-se um aumento de 3 minutos (6,23%) no grupo teste, com diferença estatisticamente significativa (p>0,001). Todos os curativos apresentaram um valor do cm2 maior que a mesma área da BLN. Concluiu-se que a biomembrana reduziu de maneira satisfatória a intensidade e o tempo de duração da dor e o sangramento em áreas doadoras de EGL. Além disso, pôde-se ver um aumento do tempo cirúrgico no grupo teste, mas, sem influenciar no aumento de dor e que o custo do cm2 da BLN foi menor em relação aos outros curativos. Advisors/Committee Members: Silva, Pedro Gregol da (advisor).

Subjects/Keywords: Cicatrização; Perda Sanguínea Cirúrgica; Volume Sanguíneo; Medição da Dor; Wound Healing; Blood Loss, Surgical; Blood Volume; Pain Measurement

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Coelho, A. A. K. (2014). Avaliação do uso da membrana de látex em área doadora de enxerto gengival livre . (Thesis). Universidade Federal de Mato Grosso do Sul. Retrieved from http://repositorio.cbc.ufms.br:8080/jspui/handle/123456789/2036

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Coelho, Alan Augusto Kalife. “Avaliação do uso da membrana de látex em área doadora de enxerto gengival livre .” 2014. Thesis, Universidade Federal de Mato Grosso do Sul. Accessed December 13, 2019. http://repositorio.cbc.ufms.br:8080/jspui/handle/123456789/2036.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Coelho, Alan Augusto Kalife. “Avaliação do uso da membrana de látex em área doadora de enxerto gengival livre .” 2014. Web. 13 Dec 2019.

Vancouver:

Coelho AAK. Avaliação do uso da membrana de látex em área doadora de enxerto gengival livre . [Internet] [Thesis]. Universidade Federal de Mato Grosso do Sul; 2014. [cited 2019 Dec 13]. Available from: http://repositorio.cbc.ufms.br:8080/jspui/handle/123456789/2036.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Coelho AAK. Avaliação do uso da membrana de látex em área doadora de enxerto gengival livre . [Thesis]. Universidade Federal de Mato Grosso do Sul; 2014. Available from: http://repositorio.cbc.ufms.br:8080/jspui/handle/123456789/2036

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Freie Universität Berlin

10. Wolfram, Julia. Influence of a prophylactic factor XIII application to alcohol dependent patients undergoing a neck dissection on the perioperative blood loss and the amount of blood transfusions.

Degree: 2018, Freie Universität Berlin

URL: http://dx.doi.org/10.17169/refubium-10286

► Background: The acquired factor XIII deficiency after major operations is correlated with perioperative blood loss and bleeding disorders. This study investigated the effect of a… (more)

▼ Background: The acquired factor XIII deficiency after major operations is correlated with perioperative blood loss and bleeding disorders. This study investigated the effect of a prophylactic factor XIII application on the perioperative blood loss and the rate of blood transfusions for alcohol dependent patients undergoing a neck dissection. Methods: In this prospective double-blind clinical study 23 alcohol dependent patients with a carcinoma, an elective neck dissection and a daily minimum consumption of 60 g of alcohol were randomized into two groups. The Fibrogammin group (n=11) was treated with 2500 U Fibrogammin® preoperatively and four times 1250 U postoperatively. The placebo group (n=12) received 0.9 % saline solution instead. The blood loss and transfused blood products were measured intraoperatively and daily up to 10 days after surgery or until the discharge from hospital. Results: In between Fibrogammin and placebo group there was no significant difference of blood loss according to the multivariate testing method (p=0.59) as well as the univariate testing method (intraoperative p=0.83; postoperative p=0.74; perioperative p=0.88). A tendency of decreased bleeding was found at 1. POD (1. POD: p=0.24). Intraoperative blood products were administered to 1 patient in the Fibrogammin (1 EK and 2 FFP) and 2 patients from the placebo group (3 EK respectively 2 EK). 1 patient in each group received a transfusion postoperatively (Fibrogammin group: 1 EK, placebo group: 3 EK). The need of transfusions did not differ within the groups (p=1.00). The length of hospital stay in the Fibrogammin group tended to be 2 days shorter (p=0.41). After the neck dissection, the factor XIII levels within the placebo group decreased significantly by 30 %. 40 % of patients from the placebo group developed an acquired factor XIII deficiency (≤ 70 %). The patients with an acquired factor XIII deficiency showed a significantly enhanced blood loss intraoperatively and at the 2nd POD (intraop: p=0.02; 2. POD: p=0.02). In the Fibrogammin group, the value remained within the range of reference. Conclusions: Within both groups the results did not show a significant reduction of perioperative blood loss or decreased need for blood transfusions after the prophylactic application of factor XIII. However, the descriptive results indicate that the detection of factor XIII levels and the selective application of factor XIII can be beneficial for alcohol-dependent patients with a high perioperative blood loss. Advisors/Committee Members: w (gender), N. N. (firstReferee), N. N. (furtherReferee).

Subjects/Keywords: factor XIII; neck dissection; alcohol dependent patients; blood loss; blood transfusion; 600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Wolfram, J. (2018). Influence of a prophylactic factor XIII application to alcohol dependent patients undergoing a neck dissection on the perioperative blood loss and the amount of blood transfusions. (Thesis). Freie Universität Berlin. Retrieved from http://dx.doi.org/10.17169/refubium-10286

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Wolfram, Julia. “Influence of a prophylactic factor XIII application to alcohol dependent patients undergoing a neck dissection on the perioperative blood loss and the amount of blood transfusions.” 2018. Thesis, Freie Universität Berlin. Accessed December 13, 2019. http://dx.doi.org/10.17169/refubium-10286.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Wolfram, Julia. “Influence of a prophylactic factor XIII application to alcohol dependent patients undergoing a neck dissection on the perioperative blood loss and the amount of blood transfusions.” 2018. Web. 13 Dec 2019.

Vancouver:

Wolfram J. Influence of a prophylactic factor XIII application to alcohol dependent patients undergoing a neck dissection on the perioperative blood loss and the amount of blood transfusions. [Internet] [Thesis]. Freie Universität Berlin; 2018. [cited 2019 Dec 13]. Available from: http://dx.doi.org/10.17169/refubium-10286.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Wolfram J. Influence of a prophylactic factor XIII application to alcohol dependent patients undergoing a neck dissection on the perioperative blood loss and the amount of blood transfusions. [Thesis]. Freie Universität Berlin; 2018. Available from: http://dx.doi.org/10.17169/refubium-10286

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Universidade Federal de Santa Maria

11. Rogério Luizari Guedes. ELECTROSURGERY AND TITANIUM CLIPS FOR HEMOSTASIS OF OVARIAN PEDICLES ON VIDEO-ASSISTED OVARIOHYSTERECTOMY WITH TWO PORTALS IN BITCHES.

Degree: 2012, Universidade Federal de Santa Maria

URL: http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=4224

►

Este estudo avaliou a utilização da eletrocirurgia bipolar e do clipador laparoscópico em relação ao tempo cirúrgico, perda sanguínea e resposta inflamatória durante a ovariohisterectomia… (more)

▼

Este estudo avaliou a utilização da eletrocirurgia bipolar e do clipador laparoscópico em relação ao tempo cirúrgico, perda sanguínea e resposta inflamatória durante a ovariohisterectomia videoassistida com dois portais. Dois grupos (n=10) avaliaram cada uma das técnicas hemostáticas durante as castrações e um grupo (GIII, n=6) avaliou as alterações séricas promovidas somente pelo protocolo clínico e anestésico utilizado, a fim de excluir as alterações promovidas por estes. O tempo cirúrgico, assim como o volume de sangue perdido foram significativamente menores no Grupo Bipolar. A resposta inflamatória apresentou valores significativamente maiores durante todo o período de avaliação pósoperatório, sem manifestações clínicas diferentes das apresentadas pelo Grupo Clipador. Em relação ao hematócrito não houve alterações significativas entre os grupos, mas entre os tempos de avaliação reduziu cerca de 10% do valor inicial, até quatro horas do final do procedimento, tanto nos grupos cirúrgicos como no Grupo III. Ambas as técnicas são de boa execução através do procedimento videoassistido, porém, o uso da pinça bipolar permite menores tempos cirúrgicos, sangramento mínimo e menor curva de aprendizado do cirurgião. O sangramento não acarreta em alterações fisiológicas e as mudanças apresentadas no hematócrito são provenientes dos protocolos clínico e anestésico instituídos.

This study evaluated the use of bipolar electrosurgery and laparoscopic clip applier with respect to surgical time, blood loss and inflammatory response during video-assisted ovariohysterectomy with two portals. Two groups (n=10) assessed each of the hemostatic techniques during castration and a third group (GIII, n=6) evaluated changes in serum promoted only by the clinical and anesthetic protocols used in order to exclude the changes made by them. The surgical times, such as the volume of blood loss were significantly lower in Bipolar Group. The inflammatory response was significantly higher throughout the evaluation period after surgery, but no clinical manifestations different than those presented by the Clipador Group. There were no significant changes in packed cell volume between the groups, but among the times evaluated it reduced about 10% from initial value until four hours after the procedure, in the surgical groups and Group III. Both techniques have good execution by the video-assisted procedure, however, the use of bipolar forceps allows minor surgical times, minimal blood loss and shorter learning curve for the surgeon. The bleeding does not result in physiological changes and that ones on packed cell volume are presented because of the clinical and anesthetic protocols.

Advisors/Committee Members: Maurício Veloso Brun, Carlos Afonso de Castro Beck, Ney Luis Pippi.

Subjects/Keywords: hematócrito; sangramento; hemostasia; laparoscopia; MEDICINA VETERINARIA; hemostasis; laparoscopy; blood loss; packed cell volume; interleukine; interleucina

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Guedes, R. L. (2012). ELECTROSURGERY AND TITANIUM CLIPS FOR HEMOSTASIS OF OVARIAN PEDICLES ON VIDEO-ASSISTED OVARIOHYSTERECTOMY WITH TWO PORTALS IN BITCHES. (Thesis). Universidade Federal de Santa Maria. Retrieved from http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=4224

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Guedes, Rogério Luizari. “ELECTROSURGERY AND TITANIUM CLIPS FOR HEMOSTASIS OF OVARIAN PEDICLES ON VIDEO-ASSISTED OVARIOHYSTERECTOMY WITH TWO PORTALS IN BITCHES.” 2012. Thesis, Universidade Federal de Santa Maria. Accessed December 13, 2019. http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=4224.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Guedes, Rogério Luizari. “ELECTROSURGERY AND TITANIUM CLIPS FOR HEMOSTASIS OF OVARIAN PEDICLES ON VIDEO-ASSISTED OVARIOHYSTERECTOMY WITH TWO PORTALS IN BITCHES.” 2012. Web. 13 Dec 2019.

Vancouver:

Guedes RL. ELECTROSURGERY AND TITANIUM CLIPS FOR HEMOSTASIS OF OVARIAN PEDICLES ON VIDEO-ASSISTED OVARIOHYSTERECTOMY WITH TWO PORTALS IN BITCHES. [Internet] [Thesis]. Universidade Federal de Santa Maria; 2012. [cited 2019 Dec 13]. Available from: http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=4224.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Guedes RL. ELECTROSURGERY AND TITANIUM CLIPS FOR HEMOSTASIS OF OVARIAN PEDICLES ON VIDEO-ASSISTED OVARIOHYSTERECTOMY WITH TWO PORTALS IN BITCHES. [Thesis]. Universidade Federal de Santa Maria; 2012. Available from: http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=4224

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Nairobi

12. Mathi, Pius. Development of beef sausages through bovine blood utilization as fat replacer to reduce slaughterhouse by-product losses .

Degree: 2016, University of Nairobi

URL: http://hdl.handle.net/11295/99624

► Slaughterhouse by-product losses after slaying of animals are major problem in Kenya at present. Many slaughterhouse operators and meat traders either lack proper preservation techniques… (more)

▼ Slaughterhouse by-product losses after slaying of animals are major problem in Kenya at present. Many slaughterhouse operators and meat traders either lack proper preservation techniques or lack technologies on how to incorporate by-products into commercial products. Value addition is one of the ways that losses can be reduced since new products can greatly improve uptake by-products. This leads to increased income for operators, improved food security, cleaner environment and more products in the market. Most of the lost by-products include blood and internal organs including offals. There is limited information about how different communities utilize various by-products despite the modern processing technological advancement. Blood has been identified as one of the most important by products after slaughter operations of food animals in Kenya. This study was therefore designed to assess how blood is utilized by different communities in the Kenyan pastoral regions with the aim of potential commercialization. The counties of Turkana, Garissa, Kajiado and Marsabit were purposively selected because they are the largest livestock producers among the pastoral Counties. Data was collected using structured questionnaires, key informant interviews and focus group discussions. Visual observations in selected slaughterhouses were also employed. The by-products that were used for food were prepared for consumption in different ways by the different communities. The utilized portions however especially that of blood was too small leading to high losses. For instance about 97% of blood in all the study areas went to waste. The study established that the by-products were not effectively utilized leading to high post slaughter wastage. The inedible by-products such as the hides were sold to tanneries, the horns were used for ornamentals, skins as dry-skin containers and hooves were just cast away.Blood was shown to be the major by-product lost in most slaughter houses and was therefore utilized in value added product development. Sausages were formulated in which fat was partially substituted with fresh bovine blood as a replacer. Fat was substituted with blood at the rate of 5% from the conventional sausage which contained 20% fat down to 0%. The sausages were evaluated for sensory properties, analysed for proximate composition, texture, cooking loss, water holding capacity, iron contents, fat oxidation as peroxide value and microbial profile and cost benefits. All the analysis for the sausages concluded that the acceptable blood/fat ratio in percentage points is 10:10. The sausages showed significant fat reductions from the full fat ones at P˂0.05, protein increased on the other hand from 14% to 15.9%. Iron increased significantly P˂0.05 from 236mg/kg to 576mg/kg with the blood increase such that a 50g sausage at10% (575.6mg/kg) replacement can supply the iron RDA for an adult man. The cooking losses, water holding capacity were not significantly affected by blood use. Use of blood as fat replacer saves the processor up to Kenya…

Subjects/Keywords: Bovine Blood; By-products; Loss reduction; Pastoral; Production cost; Slaughterhouse losses; Value addition

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Mathi, P. (2016). Development of beef sausages through bovine blood utilization as fat replacer to reduce slaughterhouse by-product losses . (Thesis). University of Nairobi. Retrieved from http://hdl.handle.net/11295/99624

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Mathi, Pius. “Development of beef sausages through bovine blood utilization as fat replacer to reduce slaughterhouse by-product losses .” 2016. Thesis, University of Nairobi. Accessed December 13, 2019. http://hdl.handle.net/11295/99624.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Mathi, Pius. “Development of beef sausages through bovine blood utilization as fat replacer to reduce slaughterhouse by-product losses .” 2016. Web. 13 Dec 2019.

Vancouver:

Mathi P. Development of beef sausages through bovine blood utilization as fat replacer to reduce slaughterhouse by-product losses . [Internet] [Thesis]. University of Nairobi; 2016. [cited 2019 Dec 13]. Available from: http://hdl.handle.net/11295/99624.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Mathi P. Development of beef sausages through bovine blood utilization as fat replacer to reduce slaughterhouse by-product losses . [Thesis]. University of Nairobi; 2016. Available from: http://hdl.handle.net/11295/99624

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

McMaster University

13. Siegal, Deborah. Small-Volume Blood Collection Tubes to Reduce Anemia and Transfusion in Intensive Care Unit Patients.

Degree: MSc, 2018, McMaster University

URL: http://hdl.handle.net/11375/22748

►

Blood sampling causes significant blood loss in intensive care unit (ICU) patients (up to 41 mL per day). Only 10% of the blood collected is… (more)

▼

Blood sampling causes significant blood loss in intensive care unit (ICU) patients (up to 41 mL per day). Only 10% of the blood collected is used for testing suggesting that volumes can be reduced without compromising patient care or laboratory processes. Blood loss contributes to anemia which is highly prevalent in the ICU (>90% after 3 days) and is associated with major adverse cardiovascular outcomes and death. Diagnostic blood loss increases the likelihood of red blood cell (RBC) transfusion which is administered to about 40% of ICU patients (half are given in absence of hemorrhage) and has significant health risks. Small-volume blood collection tubes, which collect about 50% less blood, are available, but rarely used in adults. They have the same cost as standard-volume tubes and are compatible with laboratory equipment. The rationale for the continued use of standard-volume tubes is a theoretical concern about inadequate volume for testing, and the absence of data showing the benefit of small-volume tube use on an important clinical outcome. A study is needed to show that small-volume tubes reduce blood loss, anemia and RBC transfusion without harms or negative consequences on patient care and hospital procedures compared to standard-volume tubes. If this could be shown, it may lead to practice change regarding blood collection for laboratory testing. A stepped-wedge cluster randomized trial is the ideal study design for this low-risk intervention. By incorporating the small-volume tubes into routine clinical practice and using administrative and hospital electronic medical record data, this study would be a pragmatic, cost-effective way to evaluate effectiveness and implementation. However, prior to conducting a full-scale trial powered on clinical outcomes, a pilot study is needed to determine whether a larger study will be feasible. The goals of this thesis are to (i) summarize the existing evidence regarding small-volume tubes; (ii) discuss cluster randomized trial methodology;(iii) discuss the use of health care administrative data for research; (iv) discuss the role of pilot studies; and (v) present the design of a pilot stepped wedge randomized trial of small-volume versus standard-volume blood collection tubes to evaluate the feasibility of a full-scale trial.

Thesis

Master of Science (MSc)

Blood testing is a preventable cause of blood loss. Patients in the intensive care unit (ICU) have about 41 mL of blood taken per day for testing (like donating 1 unit of blood every 8 days). This contributes to anemia (low red blood cells) and transfusion, which are harmful. About 40% of ICU patients get at least one red blood cell transfusion which is a limited resource with health risks. Most of the blood sent to the laboratory is discarded (up to 90%) suggesting that volumes can be reduced without compromising care. The goals of this thesis are to (i) summarize the evidence for reducing blood loss for laboratory testing; (ii) discuss cluster randomized trials; (iii) discuss use…

Advisors/Committee Members: Crowther, Mark, Heddle, Nancy, Health Research Methodology.

Subjects/Keywords: blood loss; laboratory testing; intensive care; cluster trial; pilot study; administrative data

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Siegal, D. (2018). Small-Volume Blood Collection Tubes to Reduce Anemia and Transfusion in Intensive Care Unit Patients. (Masters Thesis). McMaster University. Retrieved from http://hdl.handle.net/11375/22748

Chicago Manual of Style (16^th Edition):

Siegal, Deborah. “Small-Volume Blood Collection Tubes to Reduce Anemia and Transfusion in Intensive Care Unit Patients.” 2018. Masters Thesis, McMaster University. Accessed December 13, 2019. http://hdl.handle.net/11375/22748.

MLA Handbook (7^th Edition):

Siegal, Deborah. “Small-Volume Blood Collection Tubes to Reduce Anemia and Transfusion in Intensive Care Unit Patients.” 2018. Web. 13 Dec 2019.

Vancouver:

Siegal D. Small-Volume Blood Collection Tubes to Reduce Anemia and Transfusion in Intensive Care Unit Patients. [Internet] [Masters thesis]. McMaster University; 2018. [cited 2019 Dec 13]. Available from: http://hdl.handle.net/11375/22748.

Council of Science Editors:

Siegal D. Small-Volume Blood Collection Tubes to Reduce Anemia and Transfusion in Intensive Care Unit Patients. [Masters Thesis]. McMaster University; 2018. Available from: http://hdl.handle.net/11375/22748

Vrije Universiteit Amsterdam

14. Leegwater, N.C. Continuous-flow cryocompression therapy after hip fracture surgery .

Degree: 2018, Vrije Universiteit Amsterdam

URL: http://hdl.handle.net/1871/55806

Subjects/Keywords: Cryotherapy; hip fracture; analgesia; blood loss

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Leegwater, N. C. (2018). Continuous-flow cryocompression therapy after hip fracture surgery . (Doctoral Dissertation). Vrije Universiteit Amsterdam. Retrieved from http://hdl.handle.net/1871/55806

Chicago Manual of Style (16^th Edition):

Leegwater, N C. “Continuous-flow cryocompression therapy after hip fracture surgery .” 2018. Doctoral Dissertation, Vrije Universiteit Amsterdam. Accessed December 13, 2019. http://hdl.handle.net/1871/55806.

MLA Handbook (7^th Edition):

Leegwater, N C. “Continuous-flow cryocompression therapy after hip fracture surgery .” 2018. Web. 13 Dec 2019.

Vancouver:

Leegwater NC. Continuous-flow cryocompression therapy after hip fracture surgery . [Internet] [Doctoral dissertation]. Vrije Universiteit Amsterdam; 2018. [cited 2019 Dec 13]. Available from: http://hdl.handle.net/1871/55806.

Council of Science Editors:

Leegwater NC. Continuous-flow cryocompression therapy after hip fracture surgery . [Doctoral Dissertation]. Vrije Universiteit Amsterdam; 2018. Available from: http://hdl.handle.net/1871/55806

15. Leegwater, N.C. Continuous-flow cryocompression therapy after hip fracture surgery.

Degree: 2018, NARCIS

URL: https://research.vu.nl/en/publications/a3b214b5-83de-453b-b484-9ce3cb32684d ; urn:nbn:nl:ui:31-1871/55806 ; a3b214b5-83de-453b-b484-9ce3cb32684d ; 1871/55806 ; urn:nbn:nl:ui:31-1871/55806 ; https://research.vu.nl/en/publications/a3b214b5-83de-453b-b484-9ce3cb32684d

Subjects/Keywords: Cryotherapy; hip fracture; analgesia; blood loss

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Leegwater, N. C. (2018). Continuous-flow cryocompression therapy after hip fracture surgery. (Doctoral Dissertation). NARCIS. Retrieved from https://research.vu.nl/en/publications/a3b214b5-83de-453b-b484-9ce3cb32684d ; urn:nbn:nl:ui:31-1871/55806 ; a3b214b5-83de-453b-b484-9ce3cb32684d ; 1871/55806 ; urn:nbn:nl:ui:31-1871/55806 ; https://research.vu.nl/en/publications/a3b214b5-83de-453b-b484-9ce3cb32684d

Chicago Manual of Style (16^th Edition):

Leegwater, N C. “Continuous-flow cryocompression therapy after hip fracture surgery.” 2018. Doctoral Dissertation, NARCIS. Accessed December 13, 2019. https://research.vu.nl/en/publications/a3b214b5-83de-453b-b484-9ce3cb32684d ; urn:nbn:nl:ui:31-1871/55806 ; a3b214b5-83de-453b-b484-9ce3cb32684d ; 1871/55806 ; urn:nbn:nl:ui:31-1871/55806 ; https://research.vu.nl/en/publications/a3b214b5-83de-453b-b484-9ce3cb32684d.

MLA Handbook (7^th Edition):

Leegwater, N C. “Continuous-flow cryocompression therapy after hip fracture surgery.” 2018. Web. 13 Dec 2019.

Vancouver:

Leegwater NC. Continuous-flow cryocompression therapy after hip fracture surgery. [Internet] [Doctoral dissertation]. NARCIS; 2018. [cited 2019 Dec 13]. Available from: https://research.vu.nl/en/publications/a3b214b5-83de-453b-b484-9ce3cb32684d ; urn:nbn:nl:ui:31-1871/55806 ; a3b214b5-83de-453b-b484-9ce3cb32684d ; 1871/55806 ; urn:nbn:nl:ui:31-1871/55806 ; https://research.vu.nl/en/publications/a3b214b5-83de-453b-b484-9ce3cb32684d.

Council of Science Editors:

Leegwater NC. Continuous-flow cryocompression therapy after hip fracture surgery. [Doctoral Dissertation]. NARCIS; 2018. Available from: https://research.vu.nl/en/publications/a3b214b5-83de-453b-b484-9ce3cb32684d ; urn:nbn:nl:ui:31-1871/55806 ; a3b214b5-83de-453b-b484-9ce3cb32684d ; 1871/55806 ; urn:nbn:nl:ui:31-1871/55806 ; https://research.vu.nl/en/publications/a3b214b5-83de-453b-b484-9ce3cb32684d

Boston University

16. Park, Joseph. To evaluate the safety and efficacy of intra-articular tranexamic acid in primary total joint arthoplasty.

Degree: MS, Medical Sciences, 2019, Boston University

URL: http://hdl.handle.net/2144/36606

► BACKGROUND: Tranexamic acid (TXA) has become highly utilized in total joint arthroplasties for its anti-fibrinolytic effect. Recently, intra-articular application of TXA has become popular for… (more)

▼ BACKGROUND: Tranexamic acid (TXA) has become highly utilized in total joint arthroplasties for its anti-fibrinolytic effect. Recently, intra-articular application of TXA has become popular for its avoidance of systemic distribution within the body. With a more direct application to the surgical site, there is interest to see if topical application will provide hemostasis without increasing rates of venous or arterial thrombotic events and infections. In particular, there is lack of published data describing the safety of TXA in patients who have a significant disposition towards thromboembolic events. METHODS: This study was a retrospective chart-review (RCR) to assess the safety and efficacy of intra-articular TXA (IA-TXA) in total knee and hip arthroplasty patients. IA-TXA 2g/50mL NS was administered to patients who were contraindicated for IV-TXA usage based on our hospital’s guidelines (history of VTE events, mitral or aortic valve replacement with additional risk factors for stroke, active cancer, genetic or acquired thrombophilia, significant cardiac disease, serum creatinine > 2.8 mg/dL). Primary efficacy outcomes were total blood loss on post-operative day 1 (POD1), overall perioperative blood loss, and changes in hemoglobin/hematocrit values over the hospital stay. Primary safety outcomes were the incidence of arterial or venous thrombosis and wound infections. The study compared patients who received IA-TXA (study group) to patients who did not receive TXA (control group). The study included TKA patients=156 (Control=72 Study=83), anterior THA patients=57 (Control=20 Study=37), and posterior THA patients=59 (Control=27 Study=32). RESULTS: TKA patients administered IA-TXA showed a significant decrease in POD1 blood loss compared to the control group [305.84 mL, p = 0.004]. Additionally, the control patients showed significantly lower levels of overall hematocrit than those who had received IA-TXA [0.9 units, p = 0.041]. However, IA-TXA did not cause a reduction in blood loss in either the anterior or posterior THA patients. No statistically significant differences existed between treatment and control groups for transfusion rates or post-operative complications (VTE events and infections). CONCLUSION: IA-TXA 2g/50mL is effective in reducing blood loss in TKA patients; however, further research is needed regarding IA-TXA use in THA patients. The lack of efficacy in THA may have been related to the dosage used, the volume instilled, the timing of administration, or technique of administration. Advisors/Committee Members: Krauss, Eugene S. (advisor), Young, Aaron W. (advisor).

Subjects/Keywords: Surgery; IA-TXA; Perioperative blood loss; Total hip replacement; Total knee replacement; Tranexamic acid

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APA (6^th Edition):

Park, J. (2019). To evaluate the safety and efficacy of intra-articular tranexamic acid in primary total joint arthoplasty. (Masters Thesis). Boston University. Retrieved from http://hdl.handle.net/2144/36606

Chicago Manual of Style (16^th Edition):

Park, Joseph. “To evaluate the safety and efficacy of intra-articular tranexamic acid in primary total joint arthoplasty.” 2019. Masters Thesis, Boston University. Accessed December 13, 2019. http://hdl.handle.net/2144/36606.

MLA Handbook (7^th Edition):

Park, Joseph. “To evaluate the safety and efficacy of intra-articular tranexamic acid in primary total joint arthoplasty.” 2019. Web. 13 Dec 2019.

Vancouver:

Park J. To evaluate the safety and efficacy of intra-articular tranexamic acid in primary total joint arthoplasty. [Internet] [Masters thesis]. Boston University; 2019. [cited 2019 Dec 13]. Available from: http://hdl.handle.net/2144/36606.

Council of Science Editors:

Park J. To evaluate the safety and efficacy of intra-articular tranexamic acid in primary total joint arthoplasty. [Masters Thesis]. Boston University; 2019. Available from: http://hdl.handle.net/2144/36606

Freie Universität Berlin

17. Zepp, Senta. The effect of concomitant epidural anesthesia on blood loss during radical retropubic prostatectomy.

Degree: 2011, Freie Universität Berlin

URL: http://dx.doi.org/10.17169/refubium-4233

► Introduction In Germany prostate cancer is the most common tumor in men. Radical prostatectomy is the gold standard of curative therapy for prostate cancer, but… (more)

▼ Introduction In Germany prostate cancer is the most common tumor in men. Radical prostatectomy is the gold standard of curative therapy for prostate cancer, but in the past it was associated with high intraoperative blood loss and the frequent need for blood transfusions. Improvements in the management of anesthesia and patient positioning have been demonstrated to diminish blood loss. The primary objective of this study was to determine whether the use of concomitant epidural anesthesia (EDA) significantly reduces blood loss in radical prostatectomy. Patients and Methods The relationship between EDA and blood loss was investigated in a prospective randomized study involving 235 patients and conducted over a period of three years. Results In terms of the difference between Hb levels measured pre- and immediately postoperatively and in terms of absolute intraoperative blood loss, there was no statistically significant difference between the groups (Hb level difference in the EDA group 1: 3.74 g/dl; in the control group: 3.56 g/dl; absolute intraoperative blood loss in the EDA group: 665 ml; in the control group: 705 ml). This is also reflected in the fact that the frequency of transfusions was the same in the EDA group and the control group (a transfusion rate of 2.55% in both groups). Significant differences were observed in intraoperative mean arterial pressure (on average 4 mmHg lower in the EDA group than in the control group). The amount of colloid infusion required by patients in the EDA group was significantly higher (average difference 160 ml). Conclusions Use of concomitant EDA appears to have no substantial effect on reducing blood loss and on blood transfusion avoidance. More effective analgesia (intra- and postoperative) and better postoperative mobilization of patients can currently be regarded as reasons for the continued use of EDA in radical prostatectomy, although these findings are not yet supported by data from prospective randomized trials. Advisors/Committee Members: w (gender), Priv.-Doz. Dr. med. St. Weikert (firstReferee), Priv.-Doz. Dr. med. F. Christoph, Priv.-Doz. Dr. med. H. Schulte-Baukloh (furtherReferee).

Subjects/Keywords: radical prostatectomy; blood loss; 600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit

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APA (6^th Edition):

Zepp, S. (2011). The effect of concomitant epidural anesthesia on blood loss during radical retropubic prostatectomy. (Thesis). Freie Universität Berlin. Retrieved from http://dx.doi.org/10.17169/refubium-4233

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Zepp, Senta. “The effect of concomitant epidural anesthesia on blood loss during radical retropubic prostatectomy.” 2011. Thesis, Freie Universität Berlin. Accessed December 13, 2019. http://dx.doi.org/10.17169/refubium-4233.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Zepp, Senta. “The effect of concomitant epidural anesthesia on blood loss during radical retropubic prostatectomy.” 2011. Web. 13 Dec 2019.

Vancouver:

Zepp S. The effect of concomitant epidural anesthesia on blood loss during radical retropubic prostatectomy. [Internet] [Thesis]. Freie Universität Berlin; 2011. [cited 2019 Dec 13]. Available from: http://dx.doi.org/10.17169/refubium-4233.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Zepp S. The effect of concomitant epidural anesthesia on blood loss during radical retropubic prostatectomy. [Thesis]. Freie Universität Berlin; 2011. Available from: http://dx.doi.org/10.17169/refubium-4233

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

18. Leegwater, N.C. Continuous-flow cryocompression therapy after hip fracture surgery.

Degree: 2018, NARCIS

URL: https://research.vumc.nl/en/publications/24aa39b7-0542-47b4-a44b-17641684f1a7 ; urn:nbn:nl:ui:31-24aa39b7-0542-47b4-a44b-17641684f1a7 ; 24aa39b7-0542-47b4-a44b-17641684f1a7 ; 1871/55806 ; urn:nbn:nl:ui:31-24aa39b7-0542-47b4-a44b-17641684f1a7 ; https://research.vumc.nl/en/publications/24aa39b7-0542-47b4-a44b-17641684f1a7

Subjects/Keywords: Cryotherapy; hip fracture; analgesia; blood loss

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Leegwater, N. C. (2018). Continuous-flow cryocompression therapy after hip fracture surgery. (Doctoral Dissertation). NARCIS. Retrieved from https://research.vumc.nl/en/publications/24aa39b7-0542-47b4-a44b-17641684f1a7 ; urn:nbn:nl:ui:31-24aa39b7-0542-47b4-a44b-17641684f1a7 ; 24aa39b7-0542-47b4-a44b-17641684f1a7 ; 1871/55806 ; urn:nbn:nl:ui:31-24aa39b7-0542-47b4-a44b-17641684f1a7 ; https://research.vumc.nl/en/publications/24aa39b7-0542-47b4-a44b-17641684f1a7

Chicago Manual of Style (16^th Edition):

Leegwater, N C. “Continuous-flow cryocompression therapy after hip fracture surgery.” 2018. Doctoral Dissertation, NARCIS. Accessed December 13, 2019. https://research.vumc.nl/en/publications/24aa39b7-0542-47b4-a44b-17641684f1a7 ; urn:nbn:nl:ui:31-24aa39b7-0542-47b4-a44b-17641684f1a7 ; 24aa39b7-0542-47b4-a44b-17641684f1a7 ; 1871/55806 ; urn:nbn:nl:ui:31-24aa39b7-0542-47b4-a44b-17641684f1a7 ; https://research.vumc.nl/en/publications/24aa39b7-0542-47b4-a44b-17641684f1a7.

MLA Handbook (7^th Edition):

Leegwater, N C. “Continuous-flow cryocompression therapy after hip fracture surgery.” 2018. Web. 13 Dec 2019.

Vancouver:

Leegwater NC. Continuous-flow cryocompression therapy after hip fracture surgery. [Internet] [Doctoral dissertation]. NARCIS; 2018. [cited 2019 Dec 13]. Available from: https://research.vumc.nl/en/publications/24aa39b7-0542-47b4-a44b-17641684f1a7 ; urn:nbn:nl:ui:31-24aa39b7-0542-47b4-a44b-17641684f1a7 ; 24aa39b7-0542-47b4-a44b-17641684f1a7 ; 1871/55806 ; urn:nbn:nl:ui:31-24aa39b7-0542-47b4-a44b-17641684f1a7 ; https://research.vumc.nl/en/publications/24aa39b7-0542-47b4-a44b-17641684f1a7.

Council of Science Editors:

Leegwater NC. Continuous-flow cryocompression therapy after hip fracture surgery. [Doctoral Dissertation]. NARCIS; 2018. Available from: https://research.vumc.nl/en/publications/24aa39b7-0542-47b4-a44b-17641684f1a7 ; urn:nbn:nl:ui:31-24aa39b7-0542-47b4-a44b-17641684f1a7 ; 24aa39b7-0542-47b4-a44b-17641684f1a7 ; 1871/55806 ; urn:nbn:nl:ui:31-24aa39b7-0542-47b4-a44b-17641684f1a7 ; https://research.vumc.nl/en/publications/24aa39b7-0542-47b4-a44b-17641684f1a7

University of New South Wales

19. Daniel, Steven A. Pre-coagulation of solid organs.

Degree: Clinical School - St George Hospital, 2007, University of New South Wales

URL: http://handle.unsw.edu.au/1959.4/40723 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:1586/SOURCE01?view=true

► Coagulation has and continues to be one of the most important elements in medicine. Issues from a lack of hemostasis range from poorer clinical outcomes… (more)

▼ Coagulation has and continues to be one of the most important elements in medicine. Issues from a lack of hemostasis range from poorer clinical outcomes to sudden death. The evolution of treatments for hemostasis have evolved from the use of Tamponade with direct pressure and bandages, the use of materials such as cobwebs and dust, the use of heat with hot oil or heated irons, to the use of suture, glues, plasmas, staplers, and electricity. This evolution has continued to bring about the prophylactic use of technology in an effort to prevent blood loss. This change from reactive treatments to proactive continue to be on a localized or superficial basis. One of the largest opportunities to proactively reduce blood loss in surgical patients is during the resection of solid organs such as the liver, kidney, and spleen. Few options have existed to help improve hemostasis short of the complete occlusion of blood supplying the tissue such as in the Pringle Maneuver. Recent studies have begun to show that practices such as this may have a significant detrimental effect on morbidity. It has been found that by applying radio frequency electrical energy in a particular way that large amounts of tissue can be pre-coagulated prior to resection. A series of animal and human clinical work has been completed to help evolve and confirm the method and the device that was created and refined during this effort. During the course of this work fifty-three patients were treated at four institutions on three continents. Average blood loss for liver resections performed with this pre-coagulation technique using the developed device in a multicenter control trail was 3.35 ml/cm2 as compared to 6.09 ml/cm2 (p < 0.05) for resections performed using standard surgical techniques alone. Additionally, the transection time necessary was also reduced from mean value of 27 minutes (2 – 219 minutes) to 35 minutes (5 – 65 minutes). Patients treated included those suffering from liver cirrhosis, fatty liver disease, and post chemotherapy fibrosis. From this work the use of pre-coagulation with methods and device developed was shown to be safe and effective for reducing the amount of blood loss and transection time during liver resections.

Subjects/Keywords: Coagulation; Pre-coagulation; Hemostasis; Blood loss; Blood coagulation tests; Hemostasis, Surgical – Methods

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Daniel, S. A. (2007). Pre-coagulation of solid organs. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/40723 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:1586/SOURCE01?view=true

Chicago Manual of Style (16^th Edition):

Daniel, Steven A. “Pre-coagulation of solid organs.” 2007. Doctoral Dissertation, University of New South Wales. Accessed December 13, 2019. http://handle.unsw.edu.au/1959.4/40723 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:1586/SOURCE01?view=true.

MLA Handbook (7^th Edition):

Daniel, Steven A. “Pre-coagulation of solid organs.” 2007. Web. 13 Dec 2019.

Vancouver:

Daniel SA. Pre-coagulation of solid organs. [Internet] [Doctoral dissertation]. University of New South Wales; 2007. [cited 2019 Dec 13]. Available from: http://handle.unsw.edu.au/1959.4/40723 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:1586/SOURCE01?view=true.

Council of Science Editors:

Daniel SA. Pre-coagulation of solid organs. [Doctoral Dissertation]. University of New South Wales; 2007. Available from: http://handle.unsw.edu.au/1959.4/40723 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:1586/SOURCE01?view=true

Bond University

20. Dan, Michael. What are the optimal methods for reducing blood loss in hip and knee arthroplasty.

Degree: 2015, Bond University

URL: https://epublications.bond.edu.au/theses/131

This Master of Science by Research thesis explores blood management strategies regarding hip and knee joint replacement surgery.

Subjects/Keywords: Total hip replacement; Total knee replacement; Blood Loss, Surgical prevention & control.; Health Sciences, Medicine and Surgery (0564); Orthopedics; Surgery

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Dan, M. (2015). What are the optimal methods for reducing blood loss in hip and knee arthroplasty. (Thesis). Bond University. Retrieved from https://epublications.bond.edu.au/theses/131

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Dan, Michael. “What are the optimal methods for reducing blood loss in hip and knee arthroplasty.” 2015. Thesis, Bond University. Accessed December 13, 2019. https://epublications.bond.edu.au/theses/131.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Dan, Michael. “What are the optimal methods for reducing blood loss in hip and knee arthroplasty.” 2015. Web. 13 Dec 2019.

Vancouver:

Dan M. What are the optimal methods for reducing blood loss in hip and knee arthroplasty. [Internet] [Thesis]. Bond University; 2015. [cited 2019 Dec 13]. Available from: https://epublications.bond.edu.au/theses/131.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Dan M. What are the optimal methods for reducing blood loss in hip and knee arthroplasty. [Thesis]. Bond University; 2015. Available from: https://epublications.bond.edu.au/theses/131

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

21. Blankenship, Ella Dianna Chambers. A comparison of the effects of two 1200 kilocalorie dietary patterns on weight reduction, measures of body composition, blood lipids, and selected biochemical parameters in middle-aged, sedentary, overweight women.

Degree: 1982, Texas Woman's University

URL: http://hdl.handle.net/11274/8156

Subjects/Keywords: Middle-aged women; Weight loss; Body composition; Blood lipids

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APA (6^th Edition):

Blankenship, E. D. C. (1982). A comparison of the effects of two 1200 kilocalorie dietary patterns on weight reduction, measures of body composition, blood lipids, and selected biochemical parameters in middle-aged, sedentary, overweight women. (Thesis). Texas Woman's University. Retrieved from http://hdl.handle.net/11274/8156

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Blankenship, Ella Dianna Chambers. “A comparison of the effects of two 1200 kilocalorie dietary patterns on weight reduction, measures of body composition, blood lipids, and selected biochemical parameters in middle-aged, sedentary, overweight women.” 1982. Thesis, Texas Woman's University. Accessed December 13, 2019. http://hdl.handle.net/11274/8156.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Blankenship, Ella Dianna Chambers. “A comparison of the effects of two 1200 kilocalorie dietary patterns on weight reduction, measures of body composition, blood lipids, and selected biochemical parameters in middle-aged, sedentary, overweight women.” 1982. Web. 13 Dec 2019.

Vancouver:

Blankenship EDC. A comparison of the effects of two 1200 kilocalorie dietary patterns on weight reduction, measures of body composition, blood lipids, and selected biochemical parameters in middle-aged, sedentary, overweight women. [Internet] [Thesis]. Texas Woman's University; 1982. [cited 2019 Dec 13]. Available from: http://hdl.handle.net/11274/8156.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Blankenship EDC. A comparison of the effects of two 1200 kilocalorie dietary patterns on weight reduction, measures of body composition, blood lipids, and selected biochemical parameters in middle-aged, sedentary, overweight women. [Thesis]. Texas Woman's University; 1982. Available from: http://hdl.handle.net/11274/8156

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Ottawa

22. Cramer, Matthew Nathaniel. The Contribution of Body Morphology to Individual Variability in the Thermoregulatory Responses to Exercise, and the Effect of Altered Skin Blood Flow on Heat Loss Potential .

Degree: 2015, University of Ottawa

URL: http://hdl.handle.net/10393/32901

► Three studies were performed to examine biophysical sources of individual variability in the thermoregulatory responses to exercise, and the influence of skin blood flow on… (more)

▼ Three studies were performed to examine biophysical sources of individual variability in the thermoregulatory responses to exercise, and the influence of skin blood flow on heat loss potential during severe heat stress. Study 1 investigated whether unbiased comparisons of changes in rectal temperature (ΔTre) should be compared at a fixed absolute rate of heat production (Hprod; W) or a fixed Hprod per unit mass (W/kg), and whether local sweat rates (LSR) should be compared at a fixed evaporative requirement for heat balance (Ereq; W) or a fixed Ereq per unit of surface area (W/m2), between independent groups of unequal body mass and body surface area (BSA). Study 2 examined whether individual variation in ΔTre, whole-body sweat loss (WBSL), and steady-state LSR is best explained by biophysical factors related to Hprod, Ereq, and body size, and if factors related to aerobic fitness (VO2max) and body fatness correlate with the residual variance in these responses. Study 3 tested whether alterations in skin blood flow shift the critical vapour pressure (Pcrit) above which core temperature could no longer be regulated in hot/humid conditions, indicating altered heat loss potential from the skin. In study 1, exercise at fixed absolute Hprod and Ereq resulted in greater ΔTre and LSR in smaller individuals (smaller mass and BSA), but exercise at set Hprod in W/kg and Ereq in W/m2 resulted in no differences in ΔTre and LSR, respectively, regardless of body size and %VO2max. In study 2, 50-71% of the individual variation in ΔTre, whole-body sweat loss (WBSL), and steady-state LSR was explained by Hprod (W/kg), absolute Ereq (W) and Ereq (W/m2) respectively, while body fat percentage and %VO2max contributed merely 1-4% to the total variability. In study 3, despite a ~20% lower skin blood flow, Pcrit was unaffected by a large reduction in skin blood flow following iso-smotic dehydration, with no differences in core and skin temperatures and sweating observed. Collectively, these findings suggest that between-group comparisons and modelling of thermoregulatory responses must first consider biophysical factors related to metabolic heat production and body size, rather than factors related to VO2max and body fatness. Furthermore, lower levels of skin blood flow may not impair maximum heat dissipation from the skin to the external environment during severe passive heat stress as previously thought.

Subjects/Keywords: exercise; thermoregulation; core temperature; sweating; body morphology; heat production; evaporative requirements; skin blood flow; heat loss potential

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Cramer, M. N. (2015). The Contribution of Body Morphology to Individual Variability in the Thermoregulatory Responses to Exercise, and the Effect of Altered Skin Blood Flow on Heat Loss Potential . (Thesis). University of Ottawa. Retrieved from http://hdl.handle.net/10393/32901

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Cramer, Matthew Nathaniel. “The Contribution of Body Morphology to Individual Variability in the Thermoregulatory Responses to Exercise, and the Effect of Altered Skin Blood Flow on Heat Loss Potential .” 2015. Thesis, University of Ottawa. Accessed December 13, 2019. http://hdl.handle.net/10393/32901.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Cramer, Matthew Nathaniel. “The Contribution of Body Morphology to Individual Variability in the Thermoregulatory Responses to Exercise, and the Effect of Altered Skin Blood Flow on Heat Loss Potential .” 2015. Web. 13 Dec 2019.

Vancouver:

Cramer MN. The Contribution of Body Morphology to Individual Variability in the Thermoregulatory Responses to Exercise, and the Effect of Altered Skin Blood Flow on Heat Loss Potential . [Internet] [Thesis]. University of Ottawa; 2015. [cited 2019 Dec 13]. Available from: http://hdl.handle.net/10393/32901.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Cramer MN. The Contribution of Body Morphology to Individual Variability in the Thermoregulatory Responses to Exercise, and the Effect of Altered Skin Blood Flow on Heat Loss Potential . [Thesis]. University of Ottawa; 2015. Available from: http://hdl.handle.net/10393/32901

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Florida

23. Minski, Samantha A. The Effect of Changes in BMI and Fat Intake on Blood Lipids in Obese, Middle-Aged Women.

Degree: MS, Psychology - Clinical and Health Psychology, 2012, University of Florida

URL: http://ufdc.ufl.edu/UFE0044178

► Obese individuals who lose weight commonly show improvements in their LDL-cholesterol (LDL-C) and total cholesterol (TC), risk factors for heart disease. It remains unclear whether… (more)

Subjects/Keywords: Blood lipids; Body mass index; Cholesterols; Diet; Fat intake; Fats; Lifestyle; Obesity; Serum cholesterol; Weight loss; cholesterol – diet – obesity

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APA (6^th Edition):

Minski, S. A. (2012). The Effect of Changes in BMI and Fat Intake on Blood Lipids in Obese, Middle-Aged Women. (Masters Thesis). University of Florida. Retrieved from http://ufdc.ufl.edu/UFE0044178

Chicago Manual of Style (16^th Edition):

Minski, Samantha A. “The Effect of Changes in BMI and Fat Intake on Blood Lipids in Obese, Middle-Aged Women.” 2012. Masters Thesis, University of Florida. Accessed December 13, 2019. http://ufdc.ufl.edu/UFE0044178.

MLA Handbook (7^th Edition):

Minski, Samantha A. “The Effect of Changes in BMI and Fat Intake on Blood Lipids in Obese, Middle-Aged Women.” 2012. Web. 13 Dec 2019.

Vancouver:

Minski SA. The Effect of Changes in BMI and Fat Intake on Blood Lipids in Obese, Middle-Aged Women. [Internet] [Masters thesis]. University of Florida; 2012. [cited 2019 Dec 13]. Available from: http://ufdc.ufl.edu/UFE0044178.

Council of Science Editors:

Minski SA. The Effect of Changes in BMI and Fat Intake on Blood Lipids in Obese, Middle-Aged Women. [Masters Thesis]. University of Florida; 2012. Available from: http://ufdc.ufl.edu/UFE0044178

Freie Universität Berlin

24. Hardt, Sebastian. Influence of different anticoagulants on the perioperative blood loss after primary hip or knee replacement.

Degree: 2011, Freie Universität Berlin

URL: http://dx.doi.org/10.17169/refubium-5984

► Postoperative complications such as thromboembolic events and their consequences are still feared in orthopaedic surgery, especially after primary knee and hip replacement surgery (high risk… (more)

▼ Postoperative complications such as thromboembolic events and their consequences are still feared in orthopaedic surgery, especially after primary knee and hip replacement surgery (high risk group for thromboembolic events). Dabigatranetexilat (Pradaxa®), which was approved in the spring of 2008 for postoperative thrombosis prophylaxis in knee and hip replacement, is a possible alternative for the current standard therapy of low molecular weight heparins. This paper aims to show that under the administration of Dabigatranetexilat (Pradaxa®), as a thrombosis prophylaxis, patients show a lower total blood loss than they would under the administration of low molecular weight heparins (Dalteparin, Enoxaparin, Nadroparin). The medications are compared in reference to the incidence of thromboembolic events and other possible influencing factors on the perioperative blood loss are explored. Overall, the data of 1399 patients, who were either provided with a primary knee or hip replacement in the Orthopedic Hospital of the Charité, was examined and compared. To identify the perioperative blood loss, the height, body weight, the preoperative hematocrit values and the hematocrit values on the first post-operative day were gathered from all patients. Using the formula according to Nadler, we first calculate the patient's total blood volume. To identify the perioperative blood loss, we used the following equation V = EBV x ln Hct0/Hct1, which describes the relationship between blood loss during surgery and the anemia resulting from isovolemic Haemodilution. In addition, the clinically symptomatic thromboembolic events (DVT, LAE) were determined and their incidences in reference to the anticoagulants were compared. Also, possible factors for preoperative blood loss (OP indication, OP duration, anaesthesia methods, ASA classification, age) were reviewed. We have shown that the patients, who were treated with Dabigatranetexilat (Pradaxa®) during the process of their knee replacement, exhibited the lowest average perioperative blood loss. In patients who were treated with hip replacements, the intubation anesthesia presented an additional, independent risk of increased blood loss. It is significantly more frequent for patient who receive hip replacements to have thromboembolic events while being given Dabigatranetexilat (Pradaxa®). In conclusion it should be noted that Dabigatranetexilat (Pradaxa®) shows several advantages in comparison to the current standard therapy of low molecular weight heparins, such as its oral administration, the nonappearance of HIT I/II, no necessity for monitoring and the fixed dose independent of weight . In addition, a significantly lower blood loss in patients who were treated for knee replacement is evident in our work. Nevertheless according to our results, further studies on the safety of Dabigatranetexilat (Pradaxa®) for the Thrombosprophylaxis in the area of knee and hip replacement are necessary. Advisors/Committee Members: m (gender), PD Dr. med. Georg Matziolis (firstReferee), PD Dr. med. R. Hube (furtherReferee), Prof. Dr. med. T. Gehrke (furtherReferee).

Subjects/Keywords: anticoagulant; coagulation; knee replacement; hip replacement; blood loss; perioperative; 600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Hardt, S. (2011). Influence of different anticoagulants on the perioperative blood loss after primary hip or knee replacement. (Thesis). Freie Universität Berlin. Retrieved from http://dx.doi.org/10.17169/refubium-5984

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Hardt, Sebastian. “Influence of different anticoagulants on the perioperative blood loss after primary hip or knee replacement.” 2011. Thesis, Freie Universität Berlin. Accessed December 13, 2019. http://dx.doi.org/10.17169/refubium-5984.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Hardt, Sebastian. “Influence of different anticoagulants on the perioperative blood loss after primary hip or knee replacement.” 2011. Web. 13 Dec 2019.

Vancouver:

Hardt S. Influence of different anticoagulants on the perioperative blood loss after primary hip or knee replacement. [Internet] [Thesis]. Freie Universität Berlin; 2011. [cited 2019 Dec 13]. Available from: http://dx.doi.org/10.17169/refubium-5984.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Hardt S. Influence of different anticoagulants on the perioperative blood loss after primary hip or knee replacement. [Thesis]. Freie Universität Berlin; 2011. Available from: http://dx.doi.org/10.17169/refubium-5984

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Freie Universität Berlin

25. Niepraschk-von Dollen, Katja. Is there a correlation between elevated prepartum blood loss and lowered predelivery fibrinogen levels?.

Degree: 2017, Freie Universität Berlin

URL: http://dx.doi.org/10.17169/refubium-10848

► Background Postpartum hemorrhage (PPH) is a leading cause of maternal morbidity and mortality worldwide. Various risk factors have been identified, but it remains unpredictable in… (more)

▼ Background Postpartum hemorrhage (PPH) is a leading cause of maternal morbidity and mortality worldwide. Various risk factors have been identified, but it remains unpredictable in many cases. Thus it would be particularly helpful to have ways to identify patients at a high risk of PPH and to administer preventative therapy. One potential cause of bleeding—low coagulation factor levels—can be diagnosed before delivery and can potentially be corrected by substitution. The present study investigated whether fibrinogen level during the first stage of labor is associated with bleeding severity in the third stage of labor. The aim was further to determine the predictive value of prepartum fibrinogen for blood loss during labor. Methods We prospectively enrolled 1019 pregnant women with planned vaginal delivery. Upon admission to delivery, maternal fibrinogen levels, hemoglobin content, and coagulation parameters were evaluated. Blood loss in the third stage of labor was systematically measured using a calibrated collecting drape. Univariate and multivariate analyses were performed to identify predictors of PPH (blood loss ≥500 mL) and S-PPH (blood loss ≥1000 mL). Results There were 809 vaginal deliveries and 689 women with measured blood loss and fibrinogen levels before birth. The mean maternal predelivery fibrinogen was 4.65 ±0.77 g/L, PPH incidence was 12 %, S-PPH incidence was 3.5 %, and median blood loss was 250 mL. Fibrinogen levels were significantly lower in women with S-PPH (4.22 ±0.82 g/L) than without S-PPH (4.67 ±0.75 g/L; p=0.004), but did not significantly differ between women with PPH (4.67 ±0.84 g/L) and those without PPH (4.67 ±0.75 g/L; p=0.985). Instrumental delivery, episiotomy and predelivery fibrinogen levels were independent predictors of S-PPH. Primiparous status, birth weight >4000 g, genital tract laceration, episiotomy and instrumental delivery were independent predictors of PPH. Conclusion Association between decreased fibrinogen levels and bleeding could be shown. For each 1 g/L increase of predelivery fibrinogen level, the risk of S-PPH after vaginal delivery decreases by a factor of 0.405 (95 % CI 0.219–0.750; p=0.004) was found. But PPH and S-PPH are multifactorial influenced events and predelivery fibrinogen levels are to less important to give recommandation to substitute prophylactically. Advisors/Committee Members: w (gender), N.N. (firstReferee), N.N. (furtherReferee).

Subjects/Keywords: fibrinogen; postpartum hemorrhage; postpartum blood loss; vaginal delivery; 600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Niepraschk-von Dollen, K. (2017). Is there a correlation between elevated prepartum blood loss and lowered predelivery fibrinogen levels?. (Thesis). Freie Universität Berlin. Retrieved from http://dx.doi.org/10.17169/refubium-10848

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Niepraschk-von Dollen, Katja. “Is there a correlation between elevated prepartum blood loss and lowered predelivery fibrinogen levels?.” 2017. Thesis, Freie Universität Berlin. Accessed December 13, 2019. http://dx.doi.org/10.17169/refubium-10848.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Niepraschk-von Dollen, Katja. “Is there a correlation between elevated prepartum blood loss and lowered predelivery fibrinogen levels?.” 2017. Web. 13 Dec 2019.

Vancouver:

Niepraschk-von Dollen K. Is there a correlation between elevated prepartum blood loss and lowered predelivery fibrinogen levels?. [Internet] [Thesis]. Freie Universität Berlin; 2017. [cited 2019 Dec 13]. Available from: http://dx.doi.org/10.17169/refubium-10848.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Niepraschk-von Dollen K. Is there a correlation between elevated prepartum blood loss and lowered predelivery fibrinogen levels?. [Thesis]. Freie Universität Berlin; 2017. Available from: http://dx.doi.org/10.17169/refubium-10848

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Freie Universität Berlin

26. Hillebrand, Alexander. Reduction of the intraoperative blood loss during the laparoscopic myomenukleation by temporary clipping the uterine arteries.

Degree: 2010, Freie Universität Berlin

URL: http://dx.doi.org/10.17169/refubium-14428

► Introduction Myoma are common benign tumors of the uterus and can be found in up to 35% of women above the age of 35. Myoma… (more)

▼ Introduction Myoma are common benign tumors of the uterus and can be found in up to 35% of women above the age of 35. Myoma often become symptomatic and the therapy of choice for women who want to become pregnant in the future is the laparoscopic myomaenukleation. Because of the good vascularisation blood loss is the most common and severe intraoperative complication. The reliable control of the blood loss is thus the most important requirement for a succesful intervention. The problem is known for a long time and there exist numerous techniques to reduce blood loss. So far vessel clamps have never be used, even though there exist field-tested clamps on the market and the technique is used in other fields of medecine. Method In the prospective, randomised and multicenter study 158 patients were included. 89 patients underwent conventional laparoskopic surgery. The 69 patients in the study group underwent the same procedure and the additional intraoperative clipping of the uterine arteries. In both groups the following values were measured: intraoperative blood loss, decrease of haemoglobin, transfusion rates, weight and number of removed myoma, complications, length of surgery and the resistance and pulsatile indices of the uterine artery. Results The randomisation was successful. There was no significant difference between both groups concerning the preoperative haemoglobin value and the weight and number of removed myoma. In the study group the mean postoperative blood loss was 1,3 g/dl compared to a 1,5 /dl in the control group (p = 0,055). The mean intraoperative blood loss in the study group was 135ml and 150ml in the control group (p = 0,096). There were no transfusion needed in any group. The average length of surgery was 136 minutes in the study group and 120 minutes in the control group. There occured no pathologic changes in the resistance and pulsatile indices. No complications that could be connected to the intervention occured. A correlation between the size and the number of removed myoma and the blood loss was shown. Conclusion There was no significant difference concerning the decrease of haemoglobin, the intraoperative blood loss and the transfusion rate. Further studies are needed to evaluate if the technique allows to reduce blood loss in patients which very large or numerous myoma. Advisors/Committee Members: [email protected] (contact), m (gender), Prof. Dr. med. A. Schneider (firstReferee), PD Dr. med. J.-P. Ritz, Prof. Dr. med. U. Ulrich (furtherReferee).

Subjects/Keywords: myoma; fibroids; yasargil; myomenukleation; blood loss; clip; reduction; 600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Hillebrand, A. (2010). Reduction of the intraoperative blood loss during the laparoscopic myomenukleation by temporary clipping the uterine arteries. (Thesis). Freie Universität Berlin. Retrieved from http://dx.doi.org/10.17169/refubium-14428

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Hillebrand, Alexander. “Reduction of the intraoperative blood loss during the laparoscopic myomenukleation by temporary clipping the uterine arteries.” 2010. Thesis, Freie Universität Berlin. Accessed December 13, 2019. http://dx.doi.org/10.17169/refubium-14428.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Hillebrand, Alexander. “Reduction of the intraoperative blood loss during the laparoscopic myomenukleation by temporary clipping the uterine arteries.” 2010. Web. 13 Dec 2019.

Vancouver:

Hillebrand A. Reduction of the intraoperative blood loss during the laparoscopic myomenukleation by temporary clipping the uterine arteries. [Internet] [Thesis]. Freie Universität Berlin; 2010. [cited 2019 Dec 13]. Available from: http://dx.doi.org/10.17169/refubium-14428.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Hillebrand A. Reduction of the intraoperative blood loss during the laparoscopic myomenukleation by temporary clipping the uterine arteries. [Thesis]. Freie Universität Berlin; 2010. Available from: http://dx.doi.org/10.17169/refubium-14428

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Oulu

27. Tauriainen, T. (Tuomas). Complications associated with preoperative anemia, perioperative bleeding and blood transfusions after isolated coronary artery bypass grafting.

Degree: 2017, University of Oulu

URL: http://urn.fi/urn:isbn:9789526215501

►

Abstract Cardiovascular diseases are the leading cause of death worldwide, and coronary artery disease accounts for the majority of them. The treatment of choice for… (more)

▼

Abstract Cardiovascular diseases are the leading cause of death worldwide, and coronary artery disease accounts for the majority of them. The treatment of choice for complex coronary artery disease is coronary artery bypass grafting. However, as surgery in general, cardiac surgery is associated with an increased risk of perioperative bleeding and utilization of blood products. The present study aimed to investigate the impact of preoperative anemia, perioperative bleeding and retained blood syndrome as well as blood transfusion on the outcomes after isolated coronary surgery. The severity of perioperative bleeding was assessed mainly using the E-CABG and UDPB stratification criteria. Our analyses showed that severe bleeding is associated with a significantly increased risk of stroke. Furthermore, severe bleeding increased the risk of several adverse events even in low-risk patients. Retained blood syndrome was observed to be a common complication after coronary surgery and was associated with an increased risk of postoperative complications. Preoperative anemia seems to have no significant impact on patient early and late survival. Instead, the frequent exposure to blood products may be the determinant of poorer survival observed among anemic patients. Perioperative blood loss and exposure to allogeneic blood has been shown to increase adverse events. Therefore, prevention of bleeding and measures to optimize patient blood management could improve patient outcomes after cardiac surgery.

Tiivistelmä Sydän ja verisuonitaudit ovat maailmanlaajuisesti yleisin kuoleman aiheuttaja, joista sepelvaltimotaudilla on suurin vaikutus. Sepelvaltimoiden ohitusleikkaus on käypä hoito vakavassa sepelvaltimotaudissa. Kuten kirurgiassa yleisestikin, erityisesti sydänkirurgia on yhdistetty suurentuneeseen verenevuodon ja verituotteiden saannin riskiin. Tutkimukseni tavoitteena oli selvittää preoperatiivisen anemian, perioperatiivisen verenvuodon, verituotteiden annon, sekä leikkausalueelle jääneen veren itsenäisiä vaikutuksia potilaiden lopputulemiin sepelvaltimoiden ohitusleikkauksen jälkeen. Verituotteiden ja perioperatiivisen verenvuodon määrää arvioitiin pääsääntöisesti käyttäen E-CABG ja UDPB verenvuotoluokituksia. Tuloksenamme oli, että vakava verenvuoto lisää merkitsevästi aivoinfarktin riskiä. Lisäksi vakava perioperatiivinen verenvuoto on yhteydessä useisiin komplikaatioihin myös matalan leikkausriskin potilailla. Leikkausalueelle jääneen veren huomattiin olevan yleinen ongelma sepelvaltimoiden ohitusleikkauksen jälkeen, minkä lisäksi se lisäsi riskiä useille haitta-tapahtumille. Preoperatiivisella anemialla ei ollut tilastollisesti merkitsevää vaikutusta potilaiden lyhyen ja pitkän aikavälin ennusteisiin. Sen sijaan, aneemisille potilaille annetut verensiirrot saattaisivat aiheuttaa näillä potilailla huomatun alentuneen elinajan ennusteen. Perioperatiivisen verenvuodon ja altistumisen verituotteille on osoitettu lisäävän haittatapahtumia. Siispä verenvuodon vähentäminen ja verituotteiden säästäminen voisi parantaa…

Advisors/Committee Members: Biancari, F. (Fausto).

Subjects/Keywords: bleeding; bleeding severity; blood loss; blood transfusion; cardiac surgery; coronary artery bypass grafting; low-risk; outcome; preoperative anemia; red blood cell; retained blood; stroke; aivoinfarkti; leikkausalueelle jäänyt veri; matala leikkausriski; preoperatiivinen anemia; punasolu; sepelvaltimoiden ohitusleikkaus; sydänkirurgia; verensiirrot; verenvuodon vakavuus; verenvuoto

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Tauriainen, T. (. (2017). Complications associated with preoperative anemia, perioperative bleeding and blood transfusions after isolated coronary artery bypass grafting. (Doctoral Dissertation). University of Oulu. Retrieved from http://urn.fi/urn:isbn:9789526215501

Chicago Manual of Style (16^th Edition):

Tauriainen, T (Tuomas). “Complications associated with preoperative anemia, perioperative bleeding and blood transfusions after isolated coronary artery bypass grafting.” 2017. Doctoral Dissertation, University of Oulu. Accessed December 13, 2019. http://urn.fi/urn:isbn:9789526215501.

MLA Handbook (7^th Edition):

Tauriainen, T (Tuomas). “Complications associated with preoperative anemia, perioperative bleeding and blood transfusions after isolated coronary artery bypass grafting.” 2017. Web. 13 Dec 2019.

Vancouver:

Tauriainen T(. Complications associated with preoperative anemia, perioperative bleeding and blood transfusions after isolated coronary artery bypass grafting. [Internet] [Doctoral dissertation]. University of Oulu; 2017. [cited 2019 Dec 13]. Available from: http://urn.fi/urn:isbn:9789526215501.

Council of Science Editors:

Tauriainen T(. Complications associated with preoperative anemia, perioperative bleeding and blood transfusions after isolated coronary artery bypass grafting. [Doctoral Dissertation]. University of Oulu; 2017. Available from: http://urn.fi/urn:isbn:9789526215501

28. Nguyen, Michael A. The influence of growth factors applied during socket conversion, on the incidence of spontaneous early dental implant exposure.

Degree: MS, 2012, University of Alabama – Birmingham

URL: http://contentdm.mhsl.uab.edu/u?/etd,1380

►

Spontaneous early exposure of a dental implant's cover screw can result in a nidus for plaque accumulation, which may result in inflammation, damage to the… (more)

▼

Spontaneous early exposure of a dental implant's cover screw can result in a nidus for plaque accumulation, which may result in inflammation, damage to the peri-implant mucosa, and possible peri-implant bone loss. This study aims to investigate the effect of the addition of growth factors, specifically recombinant human platelet-derived growth factor, and platelet-rich plasma, at the time of socket conversion, on the incidence of early implant exposures. This retrospective study utilized data from a study involving a total of 80 implants that were placed in 4 different types of sites (Groups 1,2,3, and 4). Group 1 sites were extraction sites that were allowed to heal naturally without any grafting material or growth factors added. Group 2 sites were extraction sites that received a tri-calcium phosphate (TCP) mixed with freeze-dried bone allograft (FDBA) grafting material, but without any addition of growth factors. Group 3 sites were extraction sites that were grafted with TCP/FDBA graft, and also had platelet-rich plasma (PRP) added. Group 4 sites were extraction sites that were grafted with TCP/FDBA graft, and had recombinant human platelet-derived growth factor added (rh-PDGF). Two different types of implant surfaces were also investigated: A resorbable blast textured (RBT) surface, and a laser thread-textured implant surface (Laser-Lok). Radiographs and photographs taken at time of implant placement, 2 weeks post-operatively, and at time of implant uncovery, were compared to determine whether an early implant exposure had occurred, and also to determine the amount of bone loss that occurred. After evaluation for completeness of records and for inclusion criteria, 43 implants were accepted to be evaluated for soft tissue exposure, of which, 32 implants were accepted to be evaluated for bone loss. There was no statistically significant difference between the groups with growth factors used at the time of socket conversion, and those without, with regards to frequency of spontaneous early dental implant exposure. Likewise, no differences between implant surfaces were noted. The overall incidence of early implant exposure was 35% in this study. Bone loss was significantly greater for implants that had early implant exposure, versus implants that had no visible exposure.

M.S.

1 online resource (viii, 51 p.) :ill., digital, PDF file.

Periodontics

Dentistry

implant, exposure, growth, factors

UNRESTRICTED

Advisors/Committee Members: Michael Reddy, Additional advisors: Maria Geisinger, Nico Geurs, Amjad Javed, Philip Vassilopoulos..

Subjects/Keywords: Alveolar Bone Loss – prevention & control <; br>; Dental Implants – adverse effects<; br>; Growth Substances – blood <; br>; Platelet-Derived Growth Factor<; br>; Retrospective Studies

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Nguyen, M. A. (2012). The influence of growth factors applied during socket conversion, on the incidence of spontaneous early dental implant exposure. (Masters Thesis). University of Alabama – Birmingham. Retrieved from http://contentdm.mhsl.uab.edu/u?/etd,1380

Chicago Manual of Style (16^th Edition):

Nguyen, Michael A. “The influence of growth factors applied during socket conversion, on the incidence of spontaneous early dental implant exposure.” 2012. Masters Thesis, University of Alabama – Birmingham. Accessed December 13, 2019. http://contentdm.mhsl.uab.edu/u?/etd,1380.

MLA Handbook (7^th Edition):

Nguyen, Michael A. “The influence of growth factors applied during socket conversion, on the incidence of spontaneous early dental implant exposure.” 2012. Web. 13 Dec 2019.

Vancouver:

Nguyen MA. The influence of growth factors applied during socket conversion, on the incidence of spontaneous early dental implant exposure. [Internet] [Masters thesis]. University of Alabama – Birmingham; 2012. [cited 2019 Dec 13]. Available from: http://contentdm.mhsl.uab.edu/u?/etd,1380.

Council of Science Editors:

Nguyen MA. The influence of growth factors applied during socket conversion, on the incidence of spontaneous early dental implant exposure. [Masters Thesis]. University of Alabama – Birmingham; 2012. Available from: http://contentdm.mhsl.uab.edu/u?/etd,1380

29. Jovanović Gordana. Uticaj traneksamične kiseline na krvarenje u perioperativnom periodu kod ugradnje totalneproteze kolena.

Degree: 2014, University of Novi Sad

URL: http://www.cris.uns.ac.rs/DownloadFileServlet/Disertacija14005767050409.pdf?controlNumber=(BISIS)87532&fileName=14005767050409.pdf&id=1990&source=OATD&language=en ; http://www.cris.uns.ac.rs/record.jsf?recordId=87532&source=OATD&language=en

► Uvod Napredak hirurških i anestezioloških tehnika učinio je hiruršku intervenciju ugradnje totalne proteze kolena uspešnom i bezbednom. Međutim, pošto spada u opsežne ortopedske intervencije,… (more)

▼ Uvod Napredak hirurških i anestezioloških tehnika učinio je hiruršku intervenciju ugradnje totalne proteze kolena uspešnom i bezbednom. Međutim, pošto spada u opsežne ortopedske intervencije, praćena je značajnim gubicima krvnog volumena, kao i značajnom potrošnjom krvi i krvnih derivata. Trendovi u savremenoj medicini idu u pravcu restrikcije upotrebe krvi i krvnih derivata i čine se veliki napori u istraživanju i razvijanju metoda i tehnika koje mogu biti alternative alogenoj transfuziji krvi. Traneksamična kiselina koja ima antifibrinolitičko dejstvo, može dovesti do značajnog smanjenja perioperativnog krvarenja. Ciljevi istraživanja su bili utvrđivanje uticaja traneksamične kiseline na perioperativno krvarenje kod operacija ugradnje totalne proteze kolena, kao i utvrđivanje postojanja uticaja traneksamične kiseline na perioperativnu upotrebu alogene krvi kod operaacija ugradnje totalne proteze kolena. Matrijal i metode u studiju je bilo uključeno 96 bolesnika oba pola, starijih od 18 godina, kojima je bila ugrađivana primarna elektivna totalna proteza kolena. Oni su bili podeljeni u dve grupe, 48 u ispitivanoj grupi kod kojih je primenjivana traneksamična kiselina i 48 bolesnika koji su bili kontrolna grupa. Svi bolesnici su bili u spinalnoj anesteziji i primenjivana je pneumatska poveska na ekstremitetu koji se operisao. Ispitivana grupa je dobijala traneksamičnu kiselinu u dva navrata u dozi od 15 mg /kg i 10 mg/kg u vidu kontinuirane i.v. infuzije u trajanju od 15 minuta. Prvo davanje leka je bilo neposredno nakon uvoda u anesteziju. Drugo davanje leka je bilo 15 minuta pre otpuštanja pneumatske poveske. Kontrolna grupa je dobijala istu količinu 0.9% fiziološkog rastvora koji je primenjivan na isti način. Intraoperativni gubitak krvi je beležen i meren kao gubitak u aspiratoru i gubitak na gazama. Postoperativn gubitak krvi se merio nakon 6, 12 sati i nakon 24 sata, kao gubitak na drenove Beležio se i broj primenjenih jedinica krvi i broj ukupno dobijenih mililitara krvi i ostalih krvnih produkata, kao i vreme njihove primene. Rezultati Postoji statistički značajna razlika u prosečnom intraoperativnom krvarenju između grupa (Z = -7,281; p = 000). Prosečno intraoperativno krvarenje u ispitivanoj grupi je bilo 100 ± 92,690 ml, a u kontrolnoj 447 ± 299,282 ml. U kontrolnoj grupi bolesnici imaju statistički značajno veće ukupno postoperativno krvarenje od bolesnika iz ispitivane grupe (T test, t=4,024, p<0,01) ( ispitivana grupa 309,78± 143,612 ml, kontrolna grupa 455,42 ± 201,177 ml). Razlika je bila statistički značajna nakon 6 sati (p < 001) i nakon 12 sati u korist ispitivane grupe (p<0,05). Postji statistički značajna razlika u ukupnom perioperativnom krvarenju među grupama i traneksamična kiselina je statistički značajno (p<0,000) smanjila ukupno krvarenje од 919,36 ml (95%IP 822,083-1016,640) na 405, 32 ml (95% IP 353, 407-457, 231). Ukupno perioperativno krvarenje je u proseku iznosilo 662, 34 ml i kretalo se… Advisors/Committee Members: Drašković Biljana, Pjević Miroslava, Simić Dušica, Daničić Biljana, Savić Dragan, Radovanović Dragana.

Subjects/Keywords: Traneksamična kiselina; Proteza kolena; Artroplastika kolena; Anestezija; Perioperativni gubitak krvi; Postoperativno krvarenje; Tranexamic Acid; Knee Prosthesis; Arthroplasty, Replacement, Knee; Anesthesia; Blood Loss, Surgical; Postoperative Hemorrhage

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Gordana, J. (2014). Uticaj traneksamične kiseline na krvarenje u perioperativnom periodu kod ugradnje totalneproteze kolena. (Thesis). University of Novi Sad. Retrieved from http://www.cris.uns.ac.rs/DownloadFileServlet/Disertacija14005767050409.pdf?controlNumber=(BISIS)87532&fileName=14005767050409.pdf&id=1990&source=OATD&language=en ; http://www.cris.uns.ac.rs/record.jsf?recordId=87532&source=OATD&language=en

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Gordana, Jovanović. “Uticaj traneksamične kiseline na krvarenje u perioperativnom periodu kod ugradnje totalneproteze kolena.” 2014. Thesis, University of Novi Sad. Accessed December 13, 2019. http://www.cris.uns.ac.rs/DownloadFileServlet/Disertacija14005767050409.pdf?controlNumber=(BISIS)87532&fileName=14005767050409.pdf&id=1990&source=OATD&language=en ; http://www.cris.uns.ac.rs/record.jsf?recordId=87532&source=OATD&language=en.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Gordana, Jovanović. “Uticaj traneksamične kiseline na krvarenje u perioperativnom periodu kod ugradnje totalneproteze kolena.” 2014. Web. 13 Dec 2019.

Vancouver:

Gordana J. Uticaj traneksamične kiseline na krvarenje u perioperativnom periodu kod ugradnje totalneproteze kolena. [Internet] [Thesis]. University of Novi Sad; 2014. [cited 2019 Dec 13]. Available from: http://www.cris.uns.ac.rs/DownloadFileServlet/Disertacija14005767050409.pdf?controlNumber=(BISIS)87532&fileName=14005767050409.pdf&id=1990&source=OATD&language=en ; http://www.cris.uns.ac.rs/record.jsf?recordId=87532&source=OATD&language=en.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Gordana J. Uticaj traneksamične kiseline na krvarenje u perioperativnom periodu kod ugradnje totalneproteze kolena. [Thesis]. University of Novi Sad; 2014. Available from: http://www.cris.uns.ac.rs/DownloadFileServlet/Disertacija14005767050409.pdf?controlNumber=(BISIS)87532&fileName=14005767050409.pdf&id=1990&source=OATD&language=en ; http://www.cris.uns.ac.rs/record.jsf?recordId=87532&source=OATD&language=en

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Newcastle

30. Negewo, Netsanet Akaku. The role of comorbidities and inflammation in COPD.

Degree: PhD, 2017, University of Newcastle

URL: http://hdl.handle.net/1959.13/1337605

►

Research Doctorate - Doctor of Philosophy (PhD)

Chronic obstructive pulmonary disease (COPD) is now being increasingly recognized as a heterogeneous multidimensional disease associated with comorbid… (more)

▼

Research Doctorate - Doctor of Philosophy (PhD)

Chronic obstructive pulmonary disease (COPD) is now being increasingly recognized as a heterogeneous multidimensional disease associated with comorbid conditions that significantly influence disease expression, survival and cost of care. Nevertheless, a number of clinically relevant components of the disease still remain unaddressed by existing disease management approaches. Clinical phenotyping is an alternative disease management approach recently proposed to address this gap by advancing personalized and evidence-based management of the disease. The Comorbidity, Airway, and Risk factors (CARe) framework is one of the strategies forwarded for the ‘real world’ implementation of the phenotyping approach. CARe is based on three phenotypic characteristics of obstructive airways diseases that respond to targeted therapies, namely, comorbidities, airway pathophysiology and risk factors. In this thesis, I addressed elements from the three components of the CARe framework as applied to COPD. These included (i) the global management of COPD-associated comorbidities in obese COPD patients, (ii) the potential utility of peripheral blood eosinophil counts for the detection of airway eosinophilia in stable COPD and (iii) the relationships of medication regimen complexity with clinical outcomes, comorbidities and multidimensional prognostic indices in COPD. Briefly, the findings of this thesis have shown that (i) a short-term weight loss intervention in obese COPD patients can improve multiple comorbidity markers, (ii) peripheral blood eosinophil counts can be used for predicting sputum eosinophilia in clinically stable COPD patients with a reasonable degree of accuracy and (iii) complex pharmacotherapy in COPD patients is strongly associated with disease severity and the presence of certain comorbidities. Overall, the observations and findings of this thesis lend strong support to the CARe model as an effective approach for the management of COPD.

Advisors/Committee Members: University of Newcastle. Faculty of Health & Medicine, School of Medicine and Public Health.

Subjects/Keywords: COPD; comorbidities; pharmacotherapy; medication burden; medication regimen complexity index; disease management; thesis by publication; clinical phenotyping; obesity; weight loss; sputum eosinophils; blood eosinophils; clinical outcomes; multidimensional indices; medication regimen complexity

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Negewo, N. A. (2017). The role of comorbidities and inflammation in COPD. (Doctoral Dissertation). University of Newcastle. Retrieved from http://hdl.handle.net/1959.13/1337605

Chicago Manual of Style (16^th Edition):

Negewo, Netsanet Akaku. “The role of comorbidities and inflammation in COPD.” 2017. Doctoral Dissertation, University of Newcastle. Accessed December 13, 2019. http://hdl.handle.net/1959.13/1337605.

MLA Handbook (7^th Edition):

Negewo, Netsanet Akaku. “The role of comorbidities and inflammation in COPD.” 2017. Web. 13 Dec 2019.

Vancouver:

Negewo NA. The role of comorbidities and inflammation in COPD. [Internet] [Doctoral dissertation]. University of Newcastle; 2017. [cited 2019 Dec 13]. Available from: http://hdl.handle.net/1959.13/1337605.

Council of Science Editors:

Negewo NA. The role of comorbidities and inflammation in COPD. [Doctoral Dissertation]. University of Newcastle; 2017. Available from: http://hdl.handle.net/1959.13/1337605

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