• Title/Summary/Keyword: 간경변증

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Factors Influencing Self-care Compliance among Patients with Liver Cirrhosis (간경변증 환자의 자가간호 이행에 미치는 영향요인)

  • Kim, Mi Kyung;Na, Hyunjoo
    • Journal of muscle and joint health
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    • v.24 no.1
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    • pp.47-55
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    • 2017
  • Purpose: The purposes of this study were to examine self-efficacy, severity, social support, and self-care compliance of patients with liver cirrhosis and to identify the factors that affect their self-care compliance. Methods: A total of 160 outpatients with liver cirrhosis visiting the gastroenterology clinic at an university hospital located in Busan were enrolled in this study. Data were collected via self-report questionnaires including self-efficacy, severity of disease, social support, and self-care compliance measures. The collected data were analyzed using t-test, ANOVA, $Scheff\acute{e}-test$, Pearson correlation coefficients, and multiple linear regression analysis. Results: The factors affecting self-care compliance were self-efficacy, severity of disease, age, and sex. These factors explained 28.4% of the variance in self-care compliance of patients with liver cirrhosis. Conclusion: Therefore, nursing interventions that enhance patients' self-efficacy are needed to promote self-care compliance in patients with liver cirrhosis. In addition, patients must be taught of the importance of self-care compliance so that even young patients and those with relatively mild disease. That would also be motivated to comply with self-care instructions.

Self-Care Compliance among Patients with Liver Cirrhosis: Focusing on Symptom Experiences, Perceived Health Status and Disease Status (간경변증 환자의 자가간호이행 관련 요인: 증상경험, 지각된 건강상태 및 질병상태를 중심으로)

  • Yun, Mi-Jeong
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.25 no.3
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    • pp.165-175
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    • 2018
  • Purpose: The purposes of this study were to examine symptom experiences, perceived health status, disease status, and self-care compliance of patients with liver cirrhosis and to identify the factors that affect their self-care compliance. Methods: The study design was a cross-sectional design and 148 patients who were being treated at D-university hospital in Busan participated in the survey. The data were analyzed using t-test, ANOVA, Bonferroni test, Pearson correlation coefficients, and multiple linear regression analysis. Results: The factors affecting self-care compliance were symptom experiences, disease status, age, and gender. These factors explained 21.6% of the variance in self-care compliance of patients with liver cirrhosis. Conclusion: The findings indicate that nursing interventions that prevent patients' symptoms are needed to promote self-care compliance in patients with liver cirrhosis. The patient should also be helped to recognize the need for self-care compliance from an early stage.

Effect of Propranolol on Portal Vein Pressure in Patients with Chronic Liver Disease: Evaluation by Perrectal Portal Scintigraphy (만성 간질환에서 Propranolol의 문맥압 감소 효과: 경직장 문맥 신티그라피를 이용한 평가)

  • Rho, Young-Ho;Han, Shin;Kim, Hak-Su;Yoon, Su-Jin;Kim, Yun-Kwon;Kim, So-Yon;Kim, Yeong-Jung;Cho, Min-Koo;Park, Byong-Yik;Lee, Gwon-Jun
    • The Korean Journal of Nuclear Medicine
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    • v.33 no.4
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    • pp.388-397
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    • 1999
  • Purpose: Propranolol is known to decrease portal pressure by reducing blood flow of portal vein. Perrectal portal scintigraphy with Tc-99m pertechnetate has been introduced to evaluate the portal circulation and early diagnosis of liver cirrhosis. We evaluated the effects of propranolol on portal circulation by using per-rectal portal scintigraphy. Materials and Methods: We analyzed the portal hemodynamics by per-rectal portal scintigraphy in 51 patients with liver cirrhosis, 10 chronic hepatitis and 10 normal subjects. 38 patients with cirrhosis underwent per-rectal portal scintigraphy before and after propranolol medication. Perrectal portal scintigraphy was performed after per-rectal administration of 370 MBq of Tc-99m pertechnetate. The shunt index was calculated as the ratio, expressed as a percentage of heart radioactivity to the sum of heart and liver radioactivity during the first 30 seconds. Results: The shunt index in 40 patients with cirrhosis ($59.8{\pm}27.2%$) was significantly higher than that of normal control ($5.0{\pm}1.2%$. p<0.01) and chronic hepatitis ($11.4{\pm}3.5%$, p<0.01). Shunt index was significantly different according to Child's classification and the degree of esophageal varix (p<0.01). After propranolol medication, shunt index was significantly decreased from $59.9{\pm}27.3%$ to $51.3{\pm}15.3%$ (p<0.01) in 38 patients with liver cirrhosis. There was no significant difference of the amount of shunt index reduction after propranolol according to Childs' classification and the degree of esophgageal varix. Conclusion : The effect of propranolol on portal circulation was demonstrated as decreasing shunt index on per-rectal portal scintigraphy in patients with liver cirrhosis. Per-rectal portal scintigraphy may be useful to evaluate the portal circulation and to predict the effect of propranolol in patients with liver cirrhosis.

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노출평가를 위한 TLV 근거 - PHOSPHORUS(YELLOW)

  • Kim, Chi-Nyeon
    • 월간산업보건
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    • s.380
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    • pp.8-15
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    • 2019
  • 황색인(Yellow phosphorus)에 대한 직업적 노출기준 TLV-TWA는 0.1 mg/㎥(0.02ppm)으로 권고하였다. 이 수준은 보고된 간경변증을 포함하여 호흡기 자극, 급성 중독인 전해질 불균형, 심근 붕괴 및 신장 피질 괴사의 가능성을 최소화하기 위한 것이다. 그러나 제한된 자료로 인중독성괴저(phossy jaw)와 같은 만성적 영향에 대한 보호 한계 수준을 설정하기에는 불확실하다. 입자 상태의 인(phosphorus)에 대한 노출은 예상되지만 증기압 수준을 감안할 때 증기에 대한 직업적 노출의 유해성을 내포하고 있다. 황색인은 가장 독성이 강한 무기 물질 중에 하나이다. 또한, 결정체 고체(crystalline solid)는 30℃ 이상의 온도에서 공기 중에 자발적으로 발화될 수 있으며, 독성이 높은 흄도 방출될 수 있다.

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Identification and Partial Purification of Ethanol-Induced Hemoproteins in Human Liver (사람의 간에서 Ethanol에 의해 유발되는 hemoprotein들의 확인 및 부분정제)

  • Park, Sung-Woo;Seo, Bae-Seok;Jin, Kwang-Ho
    • Analytical Science and Technology
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    • v.8 no.2
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    • pp.117-124
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    • 1995
  • To Purify hemoproteins showing from 218nm absorbance, crude liver extract of human with hepatocirrhosis was treated with Triton N-101. Hemoproteins were purified by modification of Mohamed's method. This crude extract was applied to Octyl-Sepharose CL-4B column and the step elution was performed with 0.06% Lubrol PX and 0.25% Lubrol PX. The absorption of effluents were examined at 418nm and two peaks were appeared(Fig. 2). Hemoproteins were purified from Hyydroxyapatite and DEAE-Sephadex A-25 columns which the first peak was applied to(Fig. 3, 4). In death with suddenly, purified hemoproteins with 62 and 45kDa were obtained from 12.5% SDS-PAGE. In death with hepatocirrhosis, purified hemoprotein with 54kDa was obtainded from 12.5% SDS-PAGE(Fig. 5). Cytochrome P450 was purified to a specific content of 20.8nmol/mg protein with a recovery of about 4.1%. Absorbance maximum of these hemoproteins were 446nm at UV spectruum(Fig. 6).

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Investigation of the Prevalence of Cholelithiasis in Liver Cirrhosis Cases and Controls on Upper Abdominal Ultrasound Images (상복부 초음파 영상에서 간경변증 환자군과 대조군의 담석증 유병률 연구)

  • Cheong-Hyeon Jo;Yong-Gwon Kim;Se-Jong Yoo;Seok-Hwan Bae
    • Journal of radiological science and technology
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    • v.46 no.6
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    • pp.553-560
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    • 2023
  • This study aimed to understand the correlations of prevalence and relevant variables of cholelithiasis with a group of cirrhosis patients and a control group targeting the subjects who received the abdomen ultrasonography from K university hospital in Daejeon Metropolitan City from January 1st 2019 to December 31st. And the results are as follows. First, the group of cirrhosis patients showed relatively higher prevalence of cholelithiasis than the control group as ordinary people, which showed statistically significant differences. Second, in the control group, there were statistically significant differences in the occurrence of cholelithiasis with respect to age. Conversely, in the cirrhosis patient, there was no statistically significant association observed with age; nonetheless, age itself exhibited statistical significance. Third, according to sex, the prevalence was not statistically significant in both group of cirrhosis patients and control group. Fourth, in each degree and cause of subdivided cirrhosis, the correlation was only shown in each degree. In the results of this study, the cirrhosis patients showed high correlation with the incidence of cholelithiasis, and the control group showed the high correlation with the incidence of cholelithiasis according to age.