• 제목/요약/키워드: Liver, disease

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여성 노인 알코올성 간질환 환자를 대상으로 한 환자균형식 두유 섭취 전과 후의 영양상태 및 혈액 인자 비교 (Comparison of Nutritional Status and Blood Factors Before and After Consumption of Balanced Soymilk in Elderly Female Patients with Alcoholic Liver Disease)

  • 신경옥;황효정;정재일;전광진;송중화;문대균
    • 대한영양사협회학술지
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    • 제29권2호
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    • pp.100-113
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    • 2023
  • This was a clinical trial study to aid the recovery of elderly female alcoholic liver disease patients by providing a balanced nutritional supplement comprising soymilk. All patients gave their consent before enrolling. The average demographics of the subjects were age 81.57 years, height 150.43 cm, weight 52.67 kg, and body mass index 24.15 kg/m2. An increase in the daily consumption of fruits and fruit juice was observed after the patients had started taking the balanced meal as compared to before. Intakes of vitamin A, vitamin C, vitamin E, and cholesterol decreased after consuming soymilk, whereas vitamin B12, niacin, folic acid, and dietary fiber significantly increased (P<0.05). Blood cholesterol and BUN levels showed a decreasing tendency. Our results indicate that consuming soymilk in a balanced diet for female patients afflicted with alcoholic liver disease helps improve their nutritional status by increasing the nutrients lacking in the body.

건강검진 초음파에서 지역별 간질환 유병률 비교 분석 (Comparative Analysis Per Area of the Liver Diseases in Ultrasound Diagnosis of Healthcare Center)

  • 이미연;정홍량;임청환
    • 한국콘텐츠학회논문지
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    • 제9권3호
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    • pp.278-287
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    • 2009
  • 전국 6개 도시의 종합검진센터에서 검진 서비스를 받은 건강한 성인 총 수진자 29,531명(서울 11,976명, 인천 3,749명, 대전 3,759명, 광주 3,155명, 대구 3,470명 부산 3,422명)을 대상으로 간질환 유병률을 분석한 결과는 다음과 같다. 간질환 유병률은 43.1%로 나타났고, 성별로는 남성에서 23.3%, 여성에서 19.8%로 남성에게서 유의하게 높게 나타났으며(p<0.001), 지역별 간질환 유병률은 대전이 49.6%로 가장 높았고, 서울 48.2%, 부산 42.9%, 인천, 대구 각각 36.2%, 광주 32.1% 순으로 유의한 차이가 있는 것으로 나타났다(P<0.001). 간질환 유병률 순위는 지방간 69.7%으로 가장 높게 나타났으며, 간내낭종 13.2%, 간내석회화 9.6%, 간내혈관종 4.5%, 간내종양 1.4%, 미만성간질환 1.0%, 간경화 0.5% 순으로 나타났다. 연령별 유병률은 전 간질환이 40대에서 가장 높게 나타났으며 30대에서 50대에 높은 유병률로 유의성이 있는 것으로 나타났다(p<0.001). 간질환의 지역별 유병률은 부산은 지방간, 대전은 간내낭종, 간내혈관종, 간내석회화, 간내종양, 서울은 미만성간질환이 타 지역에 비하여 높았으며 이는 통계적으로 유의성이 있는 것으로 나타났다(p<0.001). 간질환 유병률에 영향을 미치는 관련요인의 다중회귀분석 결과는 연령이 증가할수록 발병 가능성이 높게 나타났고, 연령 및 성별의 유병률에서 유의성이 있는 것으로 나타났다(p<0.05).

Anti-Tumor Necrosis Factor Therapy in Intestinal Behçet's Disease

  • Park, Jihye;Cheon, Jae Hee
    • Gut and Liver
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    • 제12권6호
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    • pp.623-632
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    • 2018
  • Intestinal Behçet's disease is a rare, immune-mediated chronic intestinal inflammatory disease; therefore, clinical trials to optimize the management and treatment of patients are scarce. Moreover, intestinal Behçet's disease is difficult to treat and often requires surgery because of the failure of conventional medical treatment. Administration of anti-tumor necrosis factor-${\alpha}$, a potential therapeutic strategy, is currently under active clinical investigation, and evidence of its effectiveness for both intestinal Behçet's disease and inflammatory bowel diseases has been accumulating. Here, we review updated data on current experiences and outcomes after the administration of anti-tumor necrosis factor-${\alpha}$ for the treatment of intestinal Behçet's disease. In addition to infliximab and adalimumab, which are the most commonly used agents, we describe agents such as golimumab, etanercept, and certolizumab pegol, which have recently been shown to be effective in refractory intestinal Behçet's disease. This review also discusses safety issues associated with anti-tumor necrosis factor-${\alpha}$, including vulnerability to infections and malignancy.

한방병원에 입원한 환자군에서 간기능 검사 이상자의 빈도 조사 (Incidence of Liver Function Test Abnormality among Patients Hospitalized in an Oriental Hospital)

  • 한창우;김수영;민관식;이진혁;이상호;윤유석
    • 대한한의학회지
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    • 제31권2호
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    • pp.109-113
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    • 2010
  • Objectives: Liver function tests are used as screening tests for liver injuries, but their inaccuracy on positive predictive values can result in numerous false positive results. We investigated the incidence of liver function test abnormalities of patients who came to an oriental medicine hospital, in order to present a practical way to rule out false positive results for other studies designed to investigate the safety of Korean herb medicine. Methods: We analyzed the medical records and liver function test results proceeded at admission of all in-patients admitted to Jaseng Oriental Medicine Hospital, from July 2008 to June 2009. Results: Among 1,117 inpatients, 941 executed liver function tests on admission, and 40 were excluded due to their diagnosed liver disease. 747 (82.9%) of 901 enrolled patients were within the normal range of all liver function tests, and 140 (15.5%) and 14 (1.6%) were classified as "abnormalities of liver tests" and "liver injury" respectively, according to the CIOMS (Council for International Organizations of Medical Sciences) criteria. Conclusions: According to the results, among the outcomes of liver function tests proceeded among the patients admitted to the oriental medicine hospital, excluding who were diagnosed with liver disease, 17.1% showed abnormality. This means simple liver function test results are not sufficient in determining liver toxicity of Korean herb medicine (KHM).

간 질병 분류를 위한 라만 스펙트럼의 배경 잡음 제거 방법 (A method of background noise removal of Raman spectra for classification of liver disease)

  • 박아론;백성준
    • 스마트미디어저널
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    • 제2권2호
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    • pp.33-38
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    • 2013
  • 본 논문에서는 급성 알코올성 간 손상과 만성 에탄올성 간섬유증이 유도된 마우스로부터 획득한 라만 스펙트럼에서 배경 잡음을 제거하기 위한 기준선 추정 방법을 조사하였다. 기준선을 추정하기 위해 일차 미분, 선형계획법, rolling ball을 이용한 방법을 적용하였다. 각 방법의 적절한 압력 파라미터를 MAP(maximum a posteriori probability)의 훈련율에 의해 결정하였다. 실험 절과에 따르면 rolling ball 알고리즘을 이용한 기준선 추정 방법이 급성 알코올성 간 손상과 만성 에탄올성 간섬유증의 MAP 분류에서 평균 89.4%로 가장 좋은 결과를 나타냈다. 이 결과로부터 라만 스펙트럼의 기준선 추정에 적절한 방법과 파라미터를 결정하는 것이 분류 성능에 미치는 영향을 확인하였다.

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$^{99m}Tc-DISIDA$ 스캔에 의한 간기능의 정량적 평가 (Quantitative Evaluation of Liver Function Using $^{99m}Tc-DISIDA$ Cholescintigraphy)

  • 김창근;김병찬;정영선;원종진;이정균
    • 대한핵의학회지
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    • 제22권2호
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    • pp.181-185
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    • 1988
  • Since hepatocyte clearance, leading edge parencymal transit time and biliary excretion can be evaluated separately with hepatobiliary scan using $^{99m}Tc-DISIDA$, hepatobiliary scan may be useful in differentiating intrahepatic cholestasis from extrahepatic cholestasis. Excretory liver function was analysed in 13 healthy subjects and 11 patients with clinically suspected hepatocellular disease and 9 patients with extrahepatic biliary obstruction confirmed by surgery, radiological and clinical evidence. Indices of total liver activity (% TLA), liver parechymal uptake (% LPU), heart pool clearance (% HPC) and liver-heart rate (% LHR) were calculated from time activity curve over heart and liver. Compared with healthy subjects, significant reduction (p<0.05) in total liver activity (% TLA) and liver-heart rate (% LHR) was observed in all patients group. But no useful indices was demonstrated in differentiating hepatocellular disease from extrahepatic biliary obstruction.

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한약재(자하거, 백출, 차전자) 추출물의 간경화 억제효능에 관한 연구 (Antifibrotic Effects of Oriental Herbs Extraction on Liver Cirrhosis)

  • 유병수;이종형;조성은;백승화
    • 약학회지
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    • 제51권1호
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    • pp.7-12
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    • 2007
  • Hepatic cirrhosis is an important feature of chronic liver disease. Liver cirrhosis is characterized by hyperaccumulation of fibrous tissue components and is commonly observed in latter or terminal states of chronic hepatic disease. The antifibrotic effects on liver cirrhosis by oriental herbs extraction material were examined in bile duct ligated rats. Oriental herbs extraction (0.99 mg/kg rat weight/day) was administrated to cirrohotic rats for 4 weeks. Liver collagen content of bile duct ligated rats was significantly increased. And liver histology showed collagen fiber deposition was increased as well as the normal architecture was lost with large zone of necrosis being observed. Herbs extraction administrated rats showed significantly decreased liver collagen content, accumulation of collagen fiber in histological analysis, and biochemical markers of hepatic diseases. Those results demonstrate the usefulness of herbs extraction materials as an antifibrotic agent for liver cirrhosis.

Influence of Prescribed Herbal and Western Medicine on Patients with Abnormal Liver Function Tests: A Retrospective Quasi-Experimental Study

  • Lee, Ah-Ram;Yim, Je-Min;Kim, Won-Il
    • 대한약침학회지
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    • 제15권1호
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    • pp.34-39
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    • 2012
  • Objectives: The aim of this study was to investigate the safety and the efficacy of Korean herbal, western and combination medicine use in patients with abnormal liver function tests. Methods: We investigated nerve disease patients with abnormal liver function tests who were treated with Korean herbal, western and combination medicine at Dong-Eui University Oriental Hospital from January 2011 to August 2011. We compared aspartic aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP) and total bilirubin (T-bil) levels before and after taking medicine and excluded patients who had liver-related disease when admitted. Results: AST and ALT were decreased significantly in patients who had taken herbal, western medicine. AST, ALT and ALP were decreased significantly in patients who had taken combination medicine. Compare to herbal medicine, AST, ALT and ALP were decreased significantly in patients who had taken western medicine, and ALT and ALP were decreased significantly in patients who had taken combination medicine. There were no significant differences between western and combination medicine. Conclusions: This study suggests that prescribed Korean herbal medicine, at least, does not injure liver function for patients', moreover, it was shown to be effective in patients with abnormal liver function tests.

Catechol-O-Methyltransferase Activity in Cholestatic Rat's Liver Induced by Bile Duct Ligation

  • Mun, Kyo-Cheol
    • BMB Reports
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    • 제29권2호
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    • pp.142-145
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    • 1996
  • To investigate the cause of increased plasma catecholamine levels in liver disease, catechol-O-methyltransferase (COMT), which provides a major route of catabolism for circulating catecholamines, was studied under the cholestasis induced by mechanical biliary obstruction in rats. Monoamine oxidase (MAO) activity and the $K_m$ and $V_{max}$ values for both enzymes were also measured. Cytosolic, microsomal, and mitochondrial COMT activities in the cholestatic liver were significantly decreased throughout the experiment. Microsomal, and mitochondrial MAO activity in the cholestatic liver were also significantly decreased. Vmax values of COMT and MAO were lower. Serum COMT and MAO activities were detected after CBD ligation. These results indicate that plasma catecholamine levels are increased in liver disease due to decreased hepatic degradation of catecholamines by decreased activities of COMT and MAO. The decreased activity of these enzymes is caused by decreased biosynthesis and by flowage into the blood from the damaged hepatocyte.

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사청환(瀉靑丸)이 thiaocetamide에 의한 백서(白鼠) 간손상(肝損傷)에 미치는 영향 (Effects of Sachunghwan Extract on Liver Damage in Thioacetamide Induced Rats)

  • 채중원
    • 대한한방소아과학회지
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    • 제21권2호
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    • pp.89-96
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    • 2007
  • Objectives The purpose of this study is to examine of the effect of Sachunghwan on the liver disease. Methods It was induced liver damage rats by thioacetamide and dosed the extract orally and measured the activity rate of GOT, GPT, ALP and LDH. Results 1. GOT activity was more decreased in the experimental goup than in the control goup. Group I showed continuous significance after 72 hour, Group II was significance after 96 hours. 2. GPT activity was more decreased in the experimental group than in the control group. Group I was effective after 72 hours, but group II was effective after 96 hours. 3. The significance of ALP activity in the Group I and group II was revealed after 72 hours. 4. The significance of LDH activity in the Group I and group II was revealed after 96 hours. Conclusions It was showded that Sachunghwan extract was effective on liver disease.

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