• Title/Summary/Keyword: Chronic Liver Disease

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Effect of Korean Red Ginseng in chronic liver disease

  • Park, Tae Young;Hong, Meegun;Sung, Hotaik;Kim, Sangyeol;Suk, Ki Tae
    • Journal of Ginseng Research
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    • v.41 no.4
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    • pp.450-455
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    • 2017
  • Chronic liver disease, one of the most common diseases, typically arises from nonalcoholic fatty liver disease, alcoholic liver disease, chronic viral hepatitis, or hepatocellular carcinoma. Therefore, there is a pressing need for improved treatment strategies. Korean Red Ginseng has been known to have positive effects on liver disease and liver function. In this paper, we summarize the current knowledge on the beneficial effects of Korean Red Ginseng on chronic liver disease, a condition encompassing nonalcoholic fatty liver disease, alcoholic liver disease, chronic viral hepatitis, and hepatocellular carcinoma, as supported by experimental evaluation and clinical investigation.

Factors Influencing the Drinking Behavior of Chronic Liver Disease (만성 간 질환자의 음주행위에 영향을 미치는 요인)

  • Kim, Tae-Kyung;Min, Hye-Sook
    • The Korean Journal of Health Service Management
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    • v.7 no.3
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    • pp.261-273
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    • 2013
  • The purpose of this study is a chronic liver disease that affects the drinking behavior is to identify the factors. The subjects of the study was diagnosed with chronic liver disease outpatient visit were studied in 120 patients. The collected data were analyzed by using SPSS WIN 18.0. Drinking behavior of chronic liver disease to determine the factors influencing the results of the multiple regression analysis, the regression model was found to be significant(F=8.58, p<.001), drinking behavior of chronic liver disease a major contributor to the drinking habits(${\beta}$ = -.29, p = .004)was found in, followed by drinking motives(${\beta}$ = .20, p = .044), drinking refusal self-efficacy(${\beta}$ = -.17, p = .037), after which the diagnosis of the disease(${\beta}$ = .15, p = .041), respectively. These variables showed explanatory power of 44.1%. Drinking behavior is a serious health problem in patients with chronic liver disease. The factors that influence drinking behavior by considering the management of chronic liver disease drinking continued to provide information and education is needed abstinence.

A Study on the Measurement of Intrapulmonary Shunt in Liver Diseases by the Nucleotide Method (핵의학적 방법에 의한 간질환자(肝疾患者)의 폐장내 단락양 측정에 관한 연구)

  • Yun, Sung-Chul;Ahn, Jae-Hee;Choi, Soo-Bong
    • The Korean Journal of Nuclear Medicine
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    • v.21 no.2
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    • pp.199-205
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    • 1987
  • The fact there are increase of intrapulmonary arterioveneous shunt amount in the liver cirrhosis patient has been known since 1950. And the method of shunt amount calculation by radionuclide method using $^{99m}Tc-MAA$ was introduced in the middle of 1970. We measured intrapulmonary shunt amount by means of perfusion lung scan using $^{99m}Tc-MAA$ in the various type of liver diseases especially in chronic liver diseases and acute liver disease. The results were as followed. 1) The amount of arteriovenous intrapulmonary shunt in the total case of liver disease was $9.3{\pm}3.9%$, and that of in the control group was $4.6{\pm}2.1%$. 2) The amount of arteriovenous intrapulmonary shunt in the chronic liver disease was $10.8{\pm}4.4%$, and that of in the acute liver disease was $7.2{\pm}2.8%$. We observed significant differences between normal control group and liver disease group, and between chronic liver disease group and acute liver disease group in the amount of shunt by the nucleolide method.

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A Clinical Report about 57 Patients with Chronic Liver Disease (만성 간질환자 57례에 대한 임상보고)

  • 조정효;이용연;서상훈;유화승;최우진;이연월;손창규;조종관
    • The Journal of Korean Medicine
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    • v.21 no.4
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    • pp.112-121
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    • 2000
  • Objectives : The purpose of this study was to examine the efficacy of Gamichunggan-tang(Jiaweiqinggan-tang) on 57 patients who have suffered from chronic liver disease. Methods : Gamichunggan-tang(Jiaweiqinggan-tang) was administered to patients for over 2 months continuously. We checked improvement of clinical symptoms, changes of Hepatitis B markers and lymphocyte count. Results : Gamichunggan-tang(Jiaweiqinggan-tang) has significant effect on the improvement of clinical symptoms. And the ratio of seroconversion from HBeAg positive to HBeAg negative was 42.9%. Lymphocyte increased in 83.3% of patients converted to HBeAg negative. Conclusions : It is suggested that Gamichunggan-tang(Jiaweiqinggan-tang) has significant effects on the recovery of weakened liver function and immune modulation. This treatment could be recommened as a prescription for Chronic liver disease.

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The Relationships of Illness Intrusiveness and Quality of Life in Chronic Liver Disease Patients (만성 간 질환자의 지각된 질병장애정도와 삶의 질과의 관계)

  • Son, Haeng-Mi
    • Korean Journal of Adult Nursing
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    • v.14 no.4
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    • pp.501-509
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    • 2002
  • Purpose: This study was performed to identify the illness intrusiveness, quality of life, and their relationships in patients with chronic liver disease. Method: Data was collected using scales of illness intrusiveness developed by Devins et al and Korean health related quality of life (KoQoLS) developed by Shim et al to measure the illness intrusiveness and quality of life from 141 chronic liver disease patients. Result: The total mean score of illness intrusiveness was $38.85{\pm}18.45$. The domain of illness intrusiveness which showed the highest mean score was health ($4.60{\pm}2.02$), and the lowest mean score domain was relationship with spouse ($20.4{\pm}1.69$). The subcategory of KoQoLS which showed the highest mean score was bodily pain ($6.96{\pm}2.98$), and the lowest mean score subcategory was vitality ($2.75{\pm}1.20$). There were negative relationships between illness intrusiveness and KoQoLS in all subcategories. Abovel all, Illness intrusiveness had the strongest negative relationship with role limitation (r=-0.641) among the KoQoLS subcategories. Conclusion: Because the illness intrusiveness had negative influence on the quality of life in patients with chronic liver disease, further research will need to specify detailed illness intrusiveness and to explore influencing factors on quality of life in them.

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Dynamics and Liver Disease Specific Aspects of Quality of Life Among Patients with Chronic Liver Disease in Yunnan, China

  • Che, Yan-Hua;You, Jing;Chongsuvivatwong, Virasakdi;Li, Li;Sriplung, Hucha;Yan, Yuan-Zhi;Ma, Si-Jia;Zhang, Xiaoli;Shen, Ting;Chen, He-Min;Rao, Shao-Feng;Zhang, Ru-Yi
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.12
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    • pp.4765-4771
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    • 2014
  • Background: Patients with chronic liver diseases (CLD) may have compromised health related quality of life (HRQoL). Hepatitis B virus (HBV) infection has long been the leading cause of CLD including liver cancer and cirrhosis. Knowledge on different symptom profiles of CLD should help in development of comprehensive treatment and patient care plans. Objective: To access the facets of HRQoL in chronic liver diseases throughout their spectrum of severity. Materials and Methods: A cross-sectional study was conducted in the First Affiliated Hospital of Kunming Medical University in Yunnan Province of China. Both out- and inpatients undergoing treatment protocols for different HBV related liver disease states were consecutively collected from December 2012 to June 2013. ANOVA was used to compare the mean scores of EQ-5D and chronic liver disease questionnaire (CLDQ) among 5 disease groups. The relationship between demographic variables predicting global CLDQ scores and the domains of CLDQ was analysed. Results: A total of 1040 patients including 520 without complications, 91 with compensated cirrhosis, 198 with decompensated cirrhosis, 131 with HCC and 100 with liver failure were recruited. All domains of CLDQ, the means of EQ-5D value and EQ VAS exhibited significant decline with worsening of disease severity from uncomplicated HBV to liver failure. The multivariate regression demonstrated the reduction of mean scores of CLDQ domain at advanced stage. Patients with liver failure and HCC had more HRQoL impairment than other disease states. No effect of patient gender was found. Patient age was associated with 'fatigue' and 'worry' domains (p=0.006; p=0.004) but not with other domains and global scores of CLDQ and ED-5D. Conclusions: The HRQoL in chronic hepatitis B patients is greatly affected by disease states. Care for HBV-related diseases should consider not only the outcomes of treatment strategies but also improvement in patient wellbeing.

A Clinical Case of Liver Injury Induced by Chungsim Yeonja-tang (청심연자탕 투여후 발생한 약물 유인성 간손상 치험 1례)

  • Sun, Teh-Cheng;Jang, Hae-Jin;Song, Woo-Sup;Yoon, Yeo-Kwang
    • The Journal of Internal Korean Medicine
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    • v.25 no.3
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    • pp.539-544
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    • 2004
  • Herbal medicine has been used in the Eastern world for 2,000 years, and is beneficial for numerous diseases. There have been reports pertaining to the safety of herbal medicine, but there have been few reports about herbal medicine induced liver injury in Eastern or Western medicine. Most are descriptions of hepatotoxicity of certain toxic herbs. We experienced one case of drug induced liver injury in the treatment of cerebral infarction with Chungsim Yeonja-tang. Although the patient had not used medication and Chungsim Yeonja-tang has no toxic herbs in it. patient's ALP, AST, ALT, GGT was twice elevated after 20 days on medication. This was diagnosed as drug induced liver injury, possibly due to incorrect diagnosis of Sasang constitution. So no herbal medicine was given for seven days. Then Gagam Saeng Gan-tang was given. Gagam Saeng Gan-tang have been used to treat hepatic disease and have been known to have beneficial effects. After 25 days on medication, the clinical symptoms and liver function improved. So, this case is presented to bring more attention to the toxicity of herbal medicines.

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Related Factors of Quality of Life in Middle-male with Chronic Liver Disease (중년기 남성 만성 간 질환자의 삶의 질 관련요인)

  • Do, Eun-Su;Lee, Sun-Mi;Seo, Young-Sook
    • Journal of Digital Convergence
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    • v.13 no.2
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    • pp.267-277
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    • 2015
  • Purpose: The purpose of the study was to examine the related factors of quality of life (QOL) among middle-male with chronic liver disease. Method: The participants in this study were 110 patients with chronic liver disease who were recruited from the outpatient clinic of hospital. Between March and May 2014, data were collected through questionnaires and medical record review. Data analysis was performed using PASW (SPSS) 19.0 program, and one-way ANOVA, Pearson correlation coefficients, and enter multiple regression analysis. Results: The mean QOL of this study was 48.16/100. The significant correlates of QOL were anxiety-depression (${\beta}$=.33, p<.001), symptom experience (${\beta}$=.15, p=.001), health perception(${\beta}$=.31, p<.001), disease status(${\beta}$=.17, p=.022), spouse (${\beta}$=.23, p=.001), and these variables explained 68.6% of variance in QOL. Conclusion: The study suggests that psychological aspects are an important factor in explaining QOL of the middle-male with chronic liver disease. Screening and minimizing anxiety-depression could be effective strategies in enhancing QOL of middle-male with chronic liver disease.

A Study of Fatigue and Daily Living Activity in Patients with Chronic Liver Disease (만성 간 질환자의 피로와 일상생활 활동)

  • Park, You-Hui;Lee, Eun-Nam
    • The Korean Journal of Rehabilitation Nursing
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    • v.8 no.2
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    • pp.110-118
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    • 2005
  • Purpose: The purpose of this study is to understand the level of fatigue and daily living activities and to confirm their relationship in patients with chronic liver disease. Method: The sample consisted of 182 patients with chronic liver disease with a mean age of 42.4 years, who visited the D University Hospital and a S clinic from February, 2004 to March in 2004. Data were collected by a self reporting questionnaire on the selected variables such as fatigue and daily life activities. Collected data were analyzed by using SPSS program for descriptive statistics, Pearson's correlation coefficients, t-test, ANOVA. Results: Subjects showed the mild level of fatigue and slightly high level of daily living activities. They also showed a negative relationship between fatigue and daily living activities. Conclusion: It is necessary to develop nursing intervention program to reduce the level of fatigue for improving the level of daily living activities in patients with chronic liver disease.

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Genetic Factors, Viral Infection, Other Factors and Liver Cancer: An Update on Current Progress

  • Su, Cheng-Hao;Lin, Yong;Cai, Lin
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.9
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    • pp.4953-4960
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    • 2013
  • Primary liver cancer is one of the most common cancers at the global level, accounting for half of all cancers in some undeveloped countries. This disease tends to occur in livers damaged through alcohol abuse, or chronic infection with hepatitis B and C, on a background of cirrhosis. Various cancer-causing substances are associated with primary liver cancer, including certain pesticides and such chemicals as vinyl chloride and arsenic. The strong association between HBV infection and liver cancer is well documented in epidemiological studies. It is generally acknowledged that the virus is involved through long term chronic infection, frequently associated with cirrhosis, suggesting a nonspecific mechanism triggered by the immune response. Chronic inflammation of liver, continuous cell death, abnormal cell growth, would increase the occurrence rate of genetic alterations and risk of disease. However, the statistics indicated that only about one fifth of HBV carries would develop HCC in lifetime, suggesting that individual variation in genome would also influence the susceptibility of HCC. The goal of this review is to highlight present level of knowledge on the role of viral infection and genetic variation in the development of liver cancer.