• Title/Summary/Keyword: Hepatitis B

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Overview of hepatitis B and C infection (B형 및 C형 간염의 이해)

  • Kim, Ji-Hoon
    • The Journal of the Korean life insurance medical association
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    • v.30 no.1
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    • pp.11-20
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    • 2011
  • Both the enterically transmitted forms of viral hepatitis, hepatitis A and E are self-limited and do not cause chroni chepatitis. Chronic hepatitis occurs in patients with hepatitis B and C as well as in patients with chronic hepatitis D superimposed on chronic hepatitis B. Chronic hepatitis such as hepatitis B or C is important in terms of insurance underwriting and claims. General review of hepatitis B and C was performed in this article.

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The Association between Performance of Hepatitis B Vaccination and Health Belief Factors among Some Aged Persons (일부 노인의 B형간염 예방접종 이행과 건강신념과의 관련성)

  • Choi, Chun;Park, Jong;Kang, Myung-Guen;Kim, Ki-Soon
    • Korean Journal of Health Education and Promotion
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    • v.23 no.4
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    • pp.89-104
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    • 2006
  • Objectives: This study was done to find factors related with performance of hepatitis B Vaccination among some aged persons through health belief model. Methods: A questionnaire survey was made during September 2004 toward 230 elderly persons using institutions for the elderly of Gwangju City. The relations between subjects characteristics including health belief, mass media contact, hepatitis B experience and performance of hepatitis B vaccination were tested by t test or X2 test. Multiple logistic regression analysis was done to find final significantly related variables. Results: 24.8% of the subjects were vaccinated against hepatitis B. By simple analysis of relation between performance of hepatitis B vaccination and subjects characteristics including health belief, significant variables were chosen as 6 variables including perceived susceptibility, perceived seriousness, perception of benefits, knowledge on hepatitis B, age, experience of hepatitis through family or friend. After adjusting for confounding variables by multiple logistic regression analysis, hepatitis B vaccine performance showed significantly higher rate as the perception of disease seriousness increased(OR: 1.08, 95% CI: $1.03{\sim}1.14$) and in the group contacted with TV or radio information about hepatitis compared with non-contact. The group who experienced hepatitis among family or friends showed significantly higher hepatitis B vaccination performance rate compared with non-experienced. Conclusion: These results suggested that hepatitis B vaccine performance was related with health belief including hepatitis susceptibility, disease seriousness perception, acquisition of information through TV or radio and indirect hepatitis experience from family or friends.

The knowledge and attitudes towards hepatitis B among paramedic students (응급구조학과 대학생들의 B형간염에 대한 지식 및 태도)

  • Choi, Bo-Ram;Kim, Dong-Ok;Min, Gyung-Hun
    • The Korean Journal of Emergency Medical Services
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    • v.20 no.3
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    • pp.57-67
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    • 2016
  • Purpose: The purpose of this study was to investigate the knowledge and attitudes towards hepatitis B among paramedic students. Methods: A self-reported questionnaire was completed by 395 paramedic students in Daejeon and Chungnam from May 10 to June 10, 2016. The questionnaire consisted of general characteristics of the subjects (9 items), knowledge of hepatitis B (20 items), and attitudes towards hepatitis B (7 items). Data were analyzed by t test, ANOVA, post hoc Duncan test, and Pearson's correlation analysis using SPSS v. 23.0. Results: The knowledge of hepatitis B was 10.52(${\pm}5.18$) out of 20 points and was significantly correlated with grade, vaccination, or antibody-positive irerspective of education. The positive attitude toward hepatitis B was 3.15(${\pm}.43$) and there was a significant correlation with family history irrespective of education. There was a statistically positive correlation between the knowledge and attitudes towards hepatitis B (r=.104, p=.039). Conclusion: Precise knowledge delivery and full understanding of hepatitis B should be incorporated into the education of paramedic students. Active infection control by emergency medical technicians should be maintained by hepatitis B prevention practices.

Education and Counseling of Pregnant Patients with Chronic Hepatitis B: Perspectives from Obstetricians and Perinatal Nurses in Santa Clara County, California

  • Yang, Elizabeth J.;Cheung, Chrissy M.;So, Samuel K.S.;Chang, Ellen T.;Chao, Stephanie D.
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.3
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    • pp.1707-1713
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    • 2013
  • Background: This study aimed to better understand the barriers to perinatal hepatitis B prevention and to identify the reasons for poor hepatitis B knowledge and delivery of education to hepatitis B surface-antigen-positive pregnant women among healthcare providers in Santa Clara County, California. Materials and Methods: Qualitative interviews were conducted with 16 obstetricians and 17 perinatal nurses in Santa Clara County, California, which has one of the largest populations in the United States at high risk for perinatal hepatitis B transmission. Results: Most providers displayed a lack of self-efficacy attributed to insufficient hepatitis B training and education. They felt discouraged from counseling and educating their patients because of a lack of resources and discouraging patient attitudes such as stigma and apathy. Providers called for institutional changes from the government, hospitals, and nonprofit organizations to improve care for patients with chronic hepatitis B. Conclusions: Early and continuing provider training, increased public awareness, and development of comprehensive resources and new programs may contribute to reducing the barriers for health care professionals to provide counseling and education to pregnant patients with chronic hepatitis B infection.

Knowledge about hepatitis B among dental hygiene students in one college (일부 M지역 치위생과 학생들의 B형간염에 대한 지식도 조사)

  • Park, Ji-Hye;Kim, Hye-Young;Kwun, Hyeon-Sook
    • Journal of Korean society of Dental Hygiene
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    • v.9 no.1
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    • pp.207-215
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    • 2009
  • The purpose of this study was to evaluate knowledge and differences about hepatitis B among dental hygiene students in Masan university. The study surveyed by means of self-administered questionnaire consisted 193 of them. The converted score of knowledge of hepatitis B among 1st and 2nd grade students was 61.3(${\pm}22.4$) and 73.1(${\pm}18.3$) point respectively if 100 point for all statements were correctly answered. They have a good understanding of knowledge of hepatitis B except air bone infection and transmission by fomites. There is no differences of knowledge about hepatitis B according to socio-economic factor like father's education, mother's education and income. In conclusion, dental hygiene students should be educated more about hepatitis B.

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Seroprevalence of Hepatitis A and B Virus Antibody of Employees among Three Companies with Different Health Policy (사업장 보건관리에 따른 A형, B형 간염 항체 양성률)

  • Koh, Hyun Min;Son, Jun Seok
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.25 no.2
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    • pp.229-235
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    • 2015
  • Objectives: We checked hepatitis A virus antibody(anti-HAV IgG) and hepatitis B virus antibody(HBsAb) in three large companies. The result could be a guideline to establish proper health policy for Hepatitis A and B virus preventive plan in company. Methods: We investigated the seroprevalence of anti-HAV IgG and HBsAb, and demographic characteristics of employee volunteer in three companies in southern area of Korea. Company was divided three according to health policy for hepatitis A and B. Results: The seroprevalence rate of anti-HAV IgG in company A, B, and C was 53.6%, 25.8%, and 17.7%(P<0.001), respectively. The seroprevalence rate of HBsAb in workplace A, B, and C was 79.7%, 82.4%, and 70.9%(P<0.001), respectively. Anti-HAV IgG showed more considerable difference among the companies. Conclusions: The results confirmed that low rate of IgG anti-HAV and HBsAb, particularly in the company that had low level of hepatitis education and vaccination program. This study was important for establishing hepatitis education policies, to prevent and control outbreaks in companies.

A Program to Treat Hepatitis B in North Korea: A Model of Antiviral Therapy in a Resource-Poor Setting

  • Lee, Alice Unah;Linton, Heidi;Kilsby, Marcia;Hilmers, David C.
    • Gut and Liver
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    • v.12 no.6
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    • pp.615-622
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    • 2018
  • Despite the well-proven, safe and effective therapies for hepatitis B infection, delivery of treatment remains a significant challenge in resource-poor settings. Geopolitical and economic restrictions present additional difficulties in providing care in North Korea. However, treatment of patients with chronic hepatitis B remains a top priority for both the North Korean Ministry of Public Health and international agencies working in North Korean hepatitis healthcare facilities. Working in partnership, a path was created to institute this much-needed program. A consortium of United States and Australian humanitarian non-governmental organizations along with generous individual and corporate donors working in concert with local and national health authorities have succeeded in establishing the first hepatitis B treatment program in North Korea. The essential elements of this program include renovation of existing hepatitis hospitals, access to antiviral medications, establishment of laboratory facilities, creation of medical documentation and record-keeping, training of local health care professionals, and quarterly visits by international volunteer physicians and laboratory experts. Management and treatment decisions are made bilaterally. To date, nearly 1,500 patients have been evaluated, and over 800 have been started on long-term antiviral therapy. It is envisioned that this program will eventually be managed and funded by the Democratic People's Republic of Korea Ministry of Public Health. This program's success demonstrates a potential model for delivery of antiviral therapy for patients suffering from hepatitis B in other developing countries.

The management and treatment of chronic hepatitis B in Korean children (소아 만성 B형 간염의 관리와 치료)

  • Choe, Byung-Ho
    • Clinical and Experimental Pediatrics
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    • v.50 no.9
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    • pp.823-834
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    • 2007
  • Interferon (IFN) alpha has been the first line therapy of chronic hepatitis B in children, but HBeAg seroconversion occurred in 26% of treated children compared to 11% of controls in multinational randomized controlled study. Recently, lamivudine was shown to be a potent inhibitor of Hepatitis B virus (HBV) reproduction both in HBeAg positive and in HBeAg negative (the pre-core mutant form) chronic hepatitis in randomized studies worldwide. Lamivudine therapy led to considerable improvement in the seroconversion rate of HBeAg in children with chronic hepatitis B, though long-term therapy resulted in the expansion of lamivudine-resistant mutant viruses. Combination therapy with lamivudine plus alpha-IFN does not seem to improve HBe Ag seroconversion. Above all, the most effective way to prevent hepatitis B is universal HBV vaccination.

A Case of Hepatitis B Virus Associated Nephropathy (B형 간염 바이러스(Hepatitis B Virus)에 의한 신장병증 1예)

  • Kim, Tae-Nyeun;Lee, Young-Gon;Yoon, Kyung-Woo;Kim, Chong-Suhl
    • Journal of Yeungnam Medical Science
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    • v.3 no.1
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    • pp.325-332
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    • 1986
  • Since Combes' first description of hepatitis B virus associated membranous glomerulonephritis, many reports have shown a strong association of hepatitis B virus infection with various types of nephropathies, especially membranous glomerulonephritis and membranoproliferative glomerulonephritis. Recently, the authors experienced a case of membraoproliferative glomerulonephritis, type I in a 16-year-old male patient with persistent HBs and HBe antigenemia. One year prior to admission the patient was told of hepatitis at routine check, but he remained asymptomatic throughout. He was admitted to our hospital with chief complaints of proteinuria and microscopic hematuria found on routine urinalysis. Liver and kidney biopsy revealed chronic persistent hepatitis and membranoproliferative glomerulonephritis type I, respectively. We report a case of hepatitis B virus associated nephropathy with review of the literatures. Considering the endemic nature of hepatitis B virus infection in Korea, the incidence of hepatitis B viurs associated nephropathy would be proportionally high in comparison with those of other countries. So, the importance of this entity merits special consideration in our country. Further study concerning pathogenesis, epidemiology, and treatment may be needed.

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Effect of the Structured Education for Knowledge of Hepatitis B Type and Self Care Behavior in Chronic Hepatitis B Patients (구조화된 환자교육이 만성 B형 간염환자의 B형 간염에 관한 지식과 자가간호 수행에 미치는 효과)

  • Eum Sun-Ja
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.5 no.1
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    • pp.65-79
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    • 1998
  • The purpose of this study was to identify the effect of structured patient education on knowledge of Hepatitis B type and behavior about self care in chronic hepatitis B patients, and to fine the strategy to promote their self care behavior. The research design was quasi-experiment research. The study method had been done by investigating the experimental group and control group through the questionnaire on 50 patients who had been out patient medicine department in U university hospital in Ulsan from september 1st 1997 to the end of October, 1997. The analysis of the collected material had been done for the homogeneity test in which general characterics of experimental group and control group had been tested by $x^2-test$ and the homogeneity test of the knowledge of hepatitis B type and self care behavior before by t-test. To test the hypothesis the t-test had been given for the difference of the knowledge of hepatitis B type and self care behavior between the two groups and the correlation between knowledge of hepatitis B type and self care behavior performance had been tested by Pearson's correlation coefficient. The results as follows : 1. The 1st hypothesis 'The experimental group which received the structured education should be higher in the knowledge of hepatitis B type than the control group' was supported(t=-6.25, P=.000). 2. The 2nd hypothesis 'The experimental group which received the structured education whould be higher in the self care behavior performance than the control group' was supported(t=-5.15, P=.000). 3. The 3rd hypothesis 'The higher the knowledge of hepatitis B type in the patient the higher the self care behavior performance degree' was supported(r=.492, P=.001). In conclusion, the patients who received the structured education showed the increase in the degree of knowledge of hepatitis B type and self care behavior performance. so the structured education had been judged the nursing intervention had been prerequisite in increasing knowledge of hepatitis B type and self care behavior performance of the chronic hepatitis B patients.

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