• 제목/요약/키워드: Stable Disease

검색결과 603건 처리시간 0.033초

The Relationship between Airway Inflammation and Exacerbation in Chronic Obstructive Pulmonary Disease

  • Perng, Diahn-Warng;Chen, Pei-Ku
    • Tuberculosis and Respiratory Diseases
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    • 제80권4호
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    • pp.325-335
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    • 2017
  • Chronic obstructive pulmonary disease (COPD) is associated with abnormal inflammatory response and airflow limitation. Acute exacerbation involves increased inflammatory burden leading to worsening respiratory symptoms, including dyspnea and sputum production. Some COPD patients have frequent exacerbations (two or more exacerbations per year). A substantial proportion of COPD patients may remain stable without exacerbation. Bacterial and viral infections are the most common causative factors that breach airway stability and lead to exacerbation. The increasing prevalence of exacerbation is associated with deteriorating lung function, hospitalization, and risk of death. In this review, we summarize the mechanisms of airway inflammation in COPD and discuss how bacterial or viral infection, temperature, air pollution, eosinophilic inflammation, and concomitant chronic diseases increase airway inflammation and the risk of exacerbation.

Biocontrol Potential of a Lytic Bacteriophage PE204 against Bacterial Wilt of Tomato

  • Bae, Ju Young;Wu, Jing;Lee, Hyoung Ju;Jo, Eun Jeong;Murugaiyan, Senthilkumar;Chung, Eunsook;Lee, Seon-Woo
    • Journal of Microbiology and Biotechnology
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    • 제22권12호
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    • pp.1613-1620
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    • 2012
  • Bacterial wilt caused by Ralstonia solanacearum is a devastating disease of many economically important crops. Since there is no promising control strategy for bacterial wilt, phage therapy could be adopted using virulent phages. We used phage PE204 as a model lytic bacteriophage to investigate its biocontrol potential for bacterial wilt on tomato plants. The phage PE204 has a short-tailed icosahedral structure and double-stranded DNA genome similar to that of the members of Podoviridae. PE204 is stable under a wide range of temperature and pH, and is also stable in the presence of the surfactant Silwet L-77. An artificial soil microcosm (ASM) to study phage stability in soil was adopted to investigate phage viability under a controlled system. Whereas phage showed less stability under elevated temperature in the ASM, the presence of host bacteria helped to maintain a stable phage population. Simultaneous treatment of phage PE204 at $10^8$ PFU/ml with R. solanacearum on tomato rhizosphere completely inhibited bacterial wilt occurrence, and amendment of Silwet L-77 at 0.1% to the phage suspension did not impair the disease control activity of PE204. The biocontrol activities of phage PE204 application onto tomato rhizosphere before or after R. solanacearum inoculation were also investigated. Whereas pretreatment with the phage was not effective in the control of bacterial wilt, post-treatment of PE204 delayed bacterial wilt development. Our results suggested that appropriate application of lytic phages to the plant root system with a surfactant such as Silwet L-77 could be used to control the bacterial wilt of crops.

경동맥 내중막 두께가 정상 C-반응성 단백질 농도를 가진 안정형 협심증 환자에서 가지는 임상적 의의 (The Clinical Value of Intima-media Thickness in Patients with Stable Coronary Artery Disease and C-reactive Protein within Normal Limits)

  • 권종범;박건;최시영;박찬범;김용환;허성호;박만원;이종호
    • Journal of Chest Surgery
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    • 제43권5호
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    • pp.482-489
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    • 2010
  • 배경: 본 연구에서는 정상 고감도 C-반응성 단백질(hs-CRP) 농도를 가진 안정형 관상동맥 질환 환자에서 관상동맥 질환의 중증도를 알아보기 위한 도구로서 신뢰도가 높고, 용이한 방법인 경동맥 내중막 두께의 가치를 알아보고자 하였다. 대상 및 방법: 688명의 안정형 관상동맥 질환 환자에서 고감도 C-반응성 단백질이 비정상적으로 높은 농도를 보인($\geq$0.5 mg/dL) 121명의 환자를 제외한 567명의 환자를 대상으로 이미 알려진 관상동맥 유발 위험 인자들과 좌측 경동맥 내중막 두께 그리고 관상동맥 질환 중증도의 연관성을 알아 보았다. 환자들은 중간값(median-value)을 기준으로 경동맥 내중막 두께가 높은 군과 낮은 군으로 나누었고 관상동맥 조영술 상 3개의 주 관상동맥 중 적어도 1개 이상의 관상동맥에서 원래 직경의 50% 이상 좁아진 환자들을 대상으로 하였다. 결과: 567명의 환자들 중, 중간값인 0.76 mm을 기준으로 300명(52.9%)은 경동맥 두께가 낮은 군에, 267명(47.1%)은 높은 군에 속하였다. 다변수 로지스틱 회귀분석에 의하면 높은 연령(49세 이하 vs. 70세 이상; 상대적위험률=6.552), 높은 공복 혈당(99 mg/dL 이하 vs. 120 mg/dL 이상; 상대적위험률=1.713), 관상동맥질환의 중증도(1 혈관질환 vs. 2 혈관질환; 상대적위험률=1.711, 1 혈관질환 vs. 3 혈관질환; 상대적위험률=1.714)에서 유의하게 의미가 있었다. 결론: 우리는 안정형 관상동맥질환 환자에서 경동맥 내중막 두께가 의의있게 큰 경우 C-반응성 단백질의 농도가 정상이라도 관상동맥 질환이 더 다혈관질환일 가능성이 크다고 생각할 수 있다.

Cumberland 발목 불안정성 도구에 의한 안정성과 불안정성 발목의 균형 비교 (The Comparison of Balance using Cumberland Ankle Instability Tool to Stable and Instability Ankle)

  • 김기종;제갈혁;전현주;최범진;최현진;유성훈;김용억
    • 대한물리의학회지
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    • 제8권3호
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    • pp.361-368
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    • 2013
  • PURPOSE: The purpose of this study was to investigate the comparison of balance on Stable Ankle(SA), Instability Ankle(IA) using Cumberland Ankle Instability Tool(CAIT). METHODS: Total 54(SA: 27, IA: 27) subjects were volunteered to participate in the study. SA can be defined CAIT score ${\geq}28$, with no history of injury to ankle. IA can be defined persisting symptoms of giving way and ${\leq}24$ on the CAIT after ankle sprain. the balance measured using Biodex Balance System$^{(R)}$(BBS). BBS instability protocols used static, dynamic balance level less stable(2), moderate stable(4) and level more stable(8). RESULTS: There were significant differences at overall, Anterior-Posterior(AP), Medial-Lateral(ML) of static balance, dynamic balance level 2, 4. The dynamic balance level 8 found significant difference at ML, but not found significant differences at overall, AP. CONCLUSION: We suggest that CAIT is acquired more exact information for IA intervention, as balance measured.

Establishment and application of a solid-phase blocking ELISA method for detection of antibodies against classical swine fever virus

  • Cao, Yuying;Yuan, Li;Yang, Shunli;Shang, Youjun;Yang, Bin;Jing, Zhizhong;Guo, Huichen;Yin, Shuanghui
    • Journal of Veterinary Science
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    • 제23권5호
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    • pp.32.1-32.11
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    • 2022
  • Background: Classical swine fever (CSF) is a severe infectious disease of pigs that causes significant economic losses to the swine industry. Objectives: This study developed a solid-phase blocking enzyme-linked immunosorbent assay (spbELISA) method for the specific detection of antibodies against the CSF virus (CSFV) in porcine serum samples. Methods: A spbELISA method was developed based on the recombinant E2 expressed in Escherichia coli. The specificity of this established spbELISA method was evaluated using reference serum samples positive for antibodies against other common infectious diseases. The stability and sensitivity were evaluated using an accelerated thermostability test. Results: The spbELISA successfully detected the antibody levels in swine vaccinated with the C-strain of CSFV. In addition, the detection ability of spbELISA for CSFV antibodies was compared with that of other commercial ELISA kits and validated using an indirect immunofluorescence assay. The results suggested that the spbELISA provides an alternative, stable, and rapid serological detection method suitable for the large-scale screening of CSFV serum antibodies. Conclusions: The spbELISA has practical applications in assessing the vaccination status of large pig herds.

Stable Expression of TMV Resistance and Responses to Major Tobacco Diseases in the Fifth Generation of TMV CP Transgenic Tobacco

  • Park, Seong-Weon;Lee, Ki-Won;Lee, Cheong-Ho;Kim, Sang-Seock;Park, Eun-Kyung;Choi, Soon-Yong
    • 한국연초학회지
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    • 제20권1호
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    • pp.66-70
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    • 1998
  • TMV resistant lines (TRLs) originated from the Blo plant of Nicotiana tabacum cv. NC82 transformed with TMV coat protein cDNA which initially showed delayed disease symptom were selected for increased resistance in each subsequent generation. The result of field experiment of the transgenic tobacco lines in the fifth generation for TMV resistance and their response to other tobacco diseases (black shank, bacterial wilt, and powdery mildew) is described in this report. When fifteen TRLs of the fifth generation were tested for TMV resistance by mechanically inoculating the individual plants, over 95 percent of the plants of 6 lines showed complete resistance even 8 weeks after the inoculation. Average frequency of the resistant plants in TRLs of the fifth generation 8 weeks after the inoculation was 87%. Stable insertion and expression of TMV coat protein cDNA in the fifth generation of the transgenic tobacco plant were confirmed by PCR and immunoblot hybridization, respectively. All TRLs were resistant to the black shank but were susceptible to the bacterial wilt disease and the powdery mildew to the same degree as non-transgenic NC82 was. Therefore, it was indicated that the phenotypes related at least to disease resistance were not changed in the transgenic tobacco. Key words : TMV CP cDNA, TMV resistant tobacco plant, transformation.

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크루존씨 병에서 최소침습 절개법 Le Fort III 절골술을 통한 RED II 골 신연술 후 조기 고정 1례 (A Case Report of RED II Distraction Osteogenesis and Early Rigid Fixation by Minimal Invasive Approach Le Fort III Osteotomy in Crouzon's Disease)

  • 김영석;이지나;박병윤
    • Archives of Plastic Surgery
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    • 제34권1호
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    • pp.123-127
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    • 2007
  • Purpose: Rigid external distraction(RED) is a highly effective technique for correction of maxillary hypoplasia in patients with cleft or syndromic craniosynostosis. Despite many advantages of RED, it also has the problem of relapse as the conventional advancement surgery. Bicoronal approach, that is the common approach to gain access to the craniofacial skeleton, had some morbidity, such as hair loss, sensory loss, wide scar and temporal hollowing. We present our clinical experience of RED distraction with minimal invasive approach and early rigid fixation to overcome these disadvantages. Methods: A 27-year-old female patient with Crouzon's disease underwent Le Fort III osteotomy and RED device application through the minimal invasive direct skin incisions. After the latent period of 5 days, distraction was undertaken until proper convexity and advancement were obtained. During the rigid retention period, inflammation occurred on the right cheek, and proper conservative managements were done including continuous irrigation. To maintain the stability of distraction, early rigid fixation was undertaken on the osteotomy sites through another skin incisions. Preoperative and postoperative orthodontic treatments were performed. Serial photographs and cephalometric radiographs were obtained preoperatively, after distraction and 6 months after distraction. Results: The cephalometric analysis demonstrated postoperatively significant advancement of the maxilla and improvement of facial convexity. After 6-month follow-up period, the maxilla was stable in the sagittal plane and no relapse was found. Facial scars were not noticeable and other deformity and morbidity did not occur. Conclusion: This effective and stable technique will be a good alternative for the patients who need large amount of distraction and for adult patients with severe maxillary hypoplasia or syndromic craniosynostosis.

The Long-term Efficacy of Domiciliary Noninvasive Positive-Pressure Ventilation in Chronic Obstructive Pulmonary Disease: A Meta-Analysis of Randomized Controlled Trials

  • Park, So Young;Yoo, Kwang Ha;Park, Yong Bum;Rhee, Chin Kook;Park, Jinkyeong;Park, Hye Yun;Hwang, Yong Il;Park, Dong Ah;Sim, Yun Su
    • Tuberculosis and Respiratory Diseases
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    • 제85권1호
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    • pp.47-55
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    • 2022
  • Background: We evaluated the long-term effects of domiciliary noninvasive positive-pressure ventilation (NIPPV) used to treat patients with chronic obstructive pulmonary disease (COPD). Methods: Databases were searched to identify randomized controlled trials of COPD with NIPPV for longer than 1 year. Mortality rates were the primary outcome in this meta-analysis. The eight trials included in this study comprised data from 913 patients. Results: The mortality rates for the NIPPV and control groups were 29% (118/414) and 36% (151/419), suggesting a statistically significant difference (risk ratio [RR], 0.79; 95% confidence interval [CI], 0.65-0.95). Mortality rates were reduced with NIPPV in four trials that included stable COPD patients. There was no difference in admission, acute exacerbation and quality of life between the NIPPV and control groups. There was no significant difference in withdrawal rates between the two groups (RR, 0.99; 95% CI, 0.72-1.36; p=0.94). Conclusion: Maintaining long-term nocturnal NIPPV for more than 1 year, especially in patients with stable COPD, decreased the mortality rate, without increasing the withdrawal rate compared with long-term oxygen treatment.

Isolation and identification of insect pathogenic fungus from silkworms with suspected white muscardine disease

  • Seul Ki Park;Chan Young Jeong;Hyeok Gyu Kwon;Ji Hae Lee;Sang Kuk Kang;Seong-Wan Kim;Seong-Ryul Kim;Jong Woo Park
    • International Journal of Industrial Entomology and Biomaterials
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    • 제48권1호
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    • pp.42-47
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    • 2024
  • The value of silkworms as functional health food materials has increased, as has the interest in its disease control for stable production, and in the economic value of entomopathogenic microorganisms. In this study, we isolated and identified disease-causing fungi from white muscardine silkworms, and confirmed whether this strain could produce white muscardine silkworms. For the analysis of the cause of white muscardine disease in the infected silkworms, the fungi and prokaryotes causing the disease were identified, isolated, and identified using metagenome analysis. Metagenomic analysis detected a large amount of the fungus Metarhizium rileyi in silkworms, and a large amount of the bacterium Enterococcus mundtii, which was presumed to be the causative agent of the disease. For accurate identification of the fungi, these were purified by culture medium, and sequencing and phylogenetic tree analyses were performed using an internal transcribed spacer. As a result, M. rileyi, Cladosporium cladosporioides, and C. tenuissimum were identified. In general, M. rileyi is known to form green conidia, but in this study, white-yellow conidia were formed, indicating that the exact causative agent of the fungal disease cannot be estimated by diagnosing the symptoms. Thus, a diagnostic method is necessary for the continuously collection of required pathogens, and identifying their morphological and genetic characteristics.

First Report of Sour Rot on Post-harvest Oriental Melon, Tomato, Cucumber, Potato, Pumpkin and Carrot Caused by Geotrichum candidum

  • Kim, Yong-Ki;Kim, Taek-Soo;Shim, Hong-Sik;Park, Kyung-Seok;Yeh, Wan-Hae;Hong, Sung-Jun;Shim, Chang-Ki;Kim, Jeong-Soon;Park, Jong-Ho;Han, Eun-Jung;Lee, Min-Ho;Jee, Hyeong-Jin
    • 식물병연구
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    • 제17권2호
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    • pp.232-234
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    • 2011
  • During survey of postharvest diseases of vegetables in the middle region of Korea in 2003, 2004 and 2005, new disease symptoms showing watery rot and soft rot were observed. In this study, the disease causal agents were identified as Geotrichum candidum, and their host range and pathogenicity were investigated. G. candidum isolated had wide host range and strong pathogenicity against carrot, cucumber, tomato and pumpkin. The disease occurrence on several vegetables that G. candidum can be a serious threat to stable production of fresh vegetable.