• 제목/요약/키워드: bph2

검색결과 173건 처리시간 0.028초

전립선비대증 환자의 증상, 불안 및 우울이 수면의 질에 미치는 영향 (Effects of the Symptoms, Anxiety, and Depression on the Quality of Sleep of Benign Prostate Hyperplasia Patients)

  • 이나래;김경희;곽연희;김윤정
    • 한국콘텐츠학회논문지
    • /
    • 제15권1호
    • /
    • pp.338-349
    • /
    • 2015
  • 본 연구는 전립선 비대증 환자의 전립선비대증상, 불안 및 우울이 수면의 질에 미치는 영향을 확인하는 서술적 조사연구이다. 서울시 소재 H 종합병원의 전립선 비대증 환자 86명을 대상으로 수집된 자료는 기술통계, t-test, ANOVA, Pearson's correlation, 다중회귀분석으로 분석하였다. 본 연구 대상자의 전립선비대증상의 총점은 평균 16.37점, 불안은 평균 6.66점, 우울은 8.19점, 수면의 질은 37.20점이었다. 전립선비대증 환자의 수면의 질은 전립선비대증상, 불안, 우울과 음의 상관관계를 나타내며, 수면의 질에 영향을 미치는 요인은 가계월수입과 불안이었고 설명력은 43.2%이다. 결론적으로 전립선비대증 환자의 수면의 질은 전립선비대증상과 불안 및 우울이 낮을수록 수면의 질이 좋아졌으며, 수면의 질에 영향을 미치는 요인은 불안이었다. 따라서 불안감소를 통해 수면의 질을 향상시킬 수 있는 간호중재안 개발이 필요하다.

지역사회 성인남성에서의 하부요로증상 및 전립선비대증 의료이용과 사회경제적 요인의 관련성 (Relationship of Socioeconomic Factors with Medical Utilization for Lower Urinary Tract Symptoms and Benign Prostatic Hyperplasia in a South Korean Community)

  • 김한해;공경애;이훈재;윤하나;이보은;문옥륜;박혜숙
    • Journal of Preventive Medicine and Public Health
    • /
    • 제39권2호
    • /
    • pp.141-148
    • /
    • 2006
  • Objectives : We wanted to evaluate the medical underutilization for benign prostatic hyperplasia (BPH) and lower urinary tract symptoms (LUTS) among Korean elderly men and we wanted to determine their associated factors. Methods : This study was conducted on 239 men with LUTS and 116 men with BPH who were compatible with the diagnostic criteria from a total of 641 participants. These participants were over 50 years old and they were randomly chosen in a community-based study for estimating the prevalence of BPH. Using a self-reported questionnaire, we surveyed the sociodemographics, health status, quality of life, lower urinary tract symptoms, medical utilization and reasons for not seeking treatment. Results : Only 27.6% of the men with LUTS and 31.0% of the men with BPH reported having visited a doctor for urinary symptoms. The reasons for not visiting a doctor were, in order of responses from the group with LUTS: 'considered the symptoms as a part of the normal ageing process', 'not enough time to visit a doctor', 'financial difficulty' and 'the symptoms were not severe or bothersome'. Regarding BPH, the responses were the same as those of the group with LUTS however, 'financial difficulty' placed second. Among the men with experience of visiting a doctor for urinary symptoms, 33.3% of those with LUTS and 28.1% of those with BPH were not treated. The most common reason in both groups was 'the symptoms were not severe to be treated'. On a multiple logistic regression analysis, the larger size household (odds ratio (OR) 3.03, 95% confidence interval (CI)=1.40-6.54) and an unsatisfactory quality of life related with urinary symptoms (OR 2.98, 95% CI=1.23-7.21) were associated with medical utilization in the group of LUTS. For BPH, the current employment status was related with the medical utilization (OR 2.80, 95% CI=1.10-7.11), in addition to the larger size household (OR 3.24, 95% CI=1.14-9.21). Conclusions : Many men with urinary symptoms do not visit a doctor. This medical underutilization for people with LUTS and BPH may be associated with economic status in Korea.

SRD5A2 Gene Polymorphisms and the Risk of Benign Prostatic Hyperplasia but not Prostate Cancer

  • Choubey, Vimal Kumar;Sankhwar, Satya Narayan;Carlus, S. Justin;Singh, Anand Narayan;Dalela, Divakar;Thangaraj, Kumarasamy;Rajender, Singh
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제16권3호
    • /
    • pp.1033-1036
    • /
    • 2015
  • Background: Testosterone, a primary androgen in males, is converted into its most active form, dihydrotestosterone (DHT), by $5{\alpha}$-reductase type 2 (encoded by the SRD5A2 gene) in the prostate. DHT is necessary for prostatic growth and has five times higher binding affinity than testosterone for androgen receptors. We hypothesized that polymorphic variations in the SRD5A2 gene may affect the risk of benign prostatic hyperplasia and prostate cancer. Materials and Methods: We analyzed SRD5A2 gene polymorphisms in 217 BPH patients, 192 PCa cases, and 171 controls. Genotyping was undertaken using direct DNA sequencing. Genotype data were compared between cases and controls using a Chi square statistical tool. Results: We found that the A49T locus was monomorphic with 'AA' genotype in all subjects. At V89L locus, the presence of 'VV' showed a marginally significant correlation with increased BPH risk (p=0.047). At the $(TA)_n$ locus, longer TA repeats were found to be protective against BPH (p=0.003). However, neither of these polymoprhisms correlated with the risk of PCa. Conclusions: We conclude that A49T is monomorphic in the study population, VV marginally correlates with BPH risk, and longer $(TA)_n$ repeats are protective against BPH. None of these polymorphisms affect the risk of PCa.

멸구과 8종의 ITS2 DNA 염기서열 비교 분석과 고리매개등온증폭법(LAMP)을 이용한 벼멸구 특이 진단법 (ITS2 DNA Sequence Analysis for Eight Species of Delphacid Planthoppers and a Loop-mediated Isothermal Amplification Method for the Brown Planthopper-specific Detection)

  • 서보윤;박창규;고영호;정진교;조점래;강찬영
    • 한국응용곤충학회지
    • /
    • 제56권4호
    • /
    • pp.377-385
    • /
    • 2017
  • 멸구과(Delphacidae) 8종의 internal transcribed spacer 2 (ITS2) DNA 염기서열로 종간 차이 추정값을 비교하고 분자계통수를 추론하였다. ITS2 DNA 염기서열 길이는 종(species)마다 550 bp (흰등멸구)에서 699 bp (겨풀멸구)까지 차이를 보였다. 같은 Nilaparvata 속의 겨풀멸구와 벼멸구붙이 사이의 염기서열 차이 추정값($d{\pm}S.E.$)은 $0.001{\pm}0.001$로 가장 낮았으며, 사슴멸구와 일본멸구 사이는 $0.579{\pm}0.021$로 가장 높았다. 벼멸구와 다른 멸구류들과의 종간 염기서열 차이 추정값은 $0.056{\pm}0.008$ (겨풀멸구)에서부터 $0.548{\pm}0.021$ (일본멸구)로 구분되었다. 반면, Neighbor-joining 방법으로 추론된 분자계통수에서는 겨풀멸구와 벼멸구붙이를 제외하고 나머지 멸구류들은 독립된 다른 그룹으로 분지되었다. 벼멸구의 ITS2 염기서열을 참고하여 벼멸구 특이 고리매개등온증폭(loop-mediated isothermal amplification, LAMP) 프라이머 4 세트(BPH-38, BPH-38-1, BPH-207 및 BPH-92)를 제작하였다. 이들 각각을 벼멸구, 흰등멸구 및 애멸구의 게놈 DNA와 $65^{\circ}C$에서 60분간 반응시켰을 때, 벼멸구 시료에서만 증폭 산물들이 관찰되었다. BPH-92 LAMP 프라이머 세트로 $65^{\circ}C$에서 벼멸구 DNA의 양(0.1 ng, 1 ng, 10 ng, 100 ng)과 반응시간(20분, 30분, 40분, 60분)을 달리하여 형광반응을 관찰하였을 때, 20분과 30분 반응에서는 100 ng 까지에서도 발광여부 구별이 어려웠다. 그러나 40분 반응에서는 10 ng 이상에서, 60분 반응에서는 0.1 ng 이상에서 발광여부가 명확히 구별되었다.

전립선비대증환자의 건강 관련 삶의 질 영향 요인 (Factors Influencing Health-related Quality of Life in Patients with Benign Prostatic Hyperplasia)

  • 김정선;문빛나
    • 대한간호학회지
    • /
    • 제40권2호
    • /
    • pp.287-297
    • /
    • 2010
  • Purpose: This study was done to examine the relationship of low urinary tract symptoms (LUTS), depression, sexual function, and health-related quality of life (HRQoL), and to identify factors influencing HRQoL in patients with benign prostatic hyperplasia (BPH) living in the community. Methods: A total of 218 patients with BPH were recruited into the study. The data were collected by personal interviews using questionnaires and were analyzed with SPSS (version 17.0) computer program, and included descriptive statistics, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple regression analysis. Results: The relationship between HRQoL and LUTS with depression had a significant negative correlation, whereas the relationship between HRQoL and sexual function had a significant positive correlation. Depression, age, LUTS, number of chronic disease, and excercise were found to be significant predictors (35.6%) of the Physical Component Summary of HRQoL. Depression, stress, smoking, LUTS, and sexual function were found to be significant predictors (48.2%) of the Mental Component Summary of HRQoL. Conclusion: To improve HRQoL of patients with BPH, nurses should focus on the factors identified in this study when doing nursing assessments, and should develop nursing intervention programs for BPH prevention and symptoms management in primary care settings.

강황(薑黃)이 고환절제술 및 testosterone으로 유발된 rat의 전립선비대증에 미치는 영향 (The Antihyperplastic Effect of Oral Curcuma longa Ingestion in a Rat Model of Benign Prostatic Hyperplasia)

  • 이상헌;안영민;안세영;김영옥;이병철
    • 대한한방내과학회지
    • /
    • 제30권2호
    • /
    • pp.355-364
    • /
    • 2009
  • Objectives : Benign prostatic hyperplasia (BPH) is one of the most common diseases among elderly men. Though medicines such as 5${\alpha}$-reductase inhibitor (finasteride) have recently been developed for treating BPH, their adverse effects and low efficacy should not be overlooked. Curcuma longa has a long history of use in traditional medicines of Asian countries. Many reports conclude the component curcumin in Curcuma lonfa, has the potential to treat various diseases including prostate cancer. In this study, we investigated the therapeutic effects and action mechanism of Curcuma longa with a BPH rat model. Methods : Sprague-Dawley rats were used with subcutaneous injection of testosterone after castration, which were histologically similar to human BPH. A total of 30 rats were equally divided into five groups: Group 1 served as control (sham-operated group): Group 2 was the model group: Group 3 and Group 4 animals were administered Curcuma longa at dose levels of 0.5g/kg and 1.0g/kg: Group 5 served as a positive control group and was treated with finasteride at a dose of 1 mg/kg. The drugs were administered orally once a day for 30 days consecutively. After 31 days, the prostates were removed, and analyzed for their prostatic weight and histological examination. Results : The oral Curcuma longa ingestion group showed statistically significant decreases in their prostatic weights compared with the BPH-induced group and the oral finasteride ingestion group (p<0.05). Curcuma longa is also very safe in liver and kidney up to a dose of lg/kg. Injected testosterone histologically led to prostatic hyperplasia in rats, but oral Curcuma longa ingestion decreased this change. Conclusions : These results suggest that Curcuma longa has a definite inhibitory effect on BPH and might be an alternative medicine for treatment and prevention of human BPH.

  • PDF

Signaling Role of Adipocyte Leptin in Prostate Cell Proliferation Induced by Trichomonas vaginalis

  • Kim, Jung-Hyun;Han, Ik-Hwan;Shin, Su-Jin;Park, Sung-Yul;Chung, Hyo-Yeoung;Ryu, Jae-Sook
    • Parasites, Hosts and Diseases
    • /
    • 제59권3호
    • /
    • pp.235-249
    • /
    • 2021
  • Leptin is a type of adipokine mainly produced by adipocytes and reported to be overproduced in prostate cancer. However, it is not known whether it stimulates the proliferation of prostate cells. In this study, we investigated whether benign prostatic hyperplasia epithelial cells (BPH-1 cells) infected with Trichomonas vaginalis induced the proliferation of prostate cells via a leptin signaling pathway. To investigate the effect of crosstalk between adipocyte leptin and inflamed epithelial cell in proliferation of prostate cells, adipocytes 3T3-L1 cells were incubated in conditioned medium of BPH-1 cells infected with T. vaginalis (T. vaginalis-conditioned medium, TCM), and then the adipocyte-conditioned medium (ATCM) was identified to cause proliferation of prostate cells. BPH-1 cells incubated with live T. vaginalis released pro-inflammatory cytokines, and conditioned medium of these cells caused migration of adipocytes. When prostate stromal cells and BPH-1 cells were incubated with adipocyte conditioned medium containing leptin, their growth rates increased as did expression of the leptin receptor (known as OBR) and signaling molecules such as JAK2/STAT3, Notch and survivin. Moreover, blocking the OBR reduced this proliferation and the expression of leptin signaling molecules in response to ATCM. In conclusion, our findings show that inflamed BPH-1 cells infected with T. vaginalis induce the proliferation of prostate cells through leptin-OBR signaling. Therefore, it is likely that T. vaginalis contributes to prostate enlargement in BPH via adipocyte leptin released as a result of inflammation of the prostate.

The Extract of Couroupita guianensis Aubl. Ameliorates Benign Prostatic Hyperplasia In Vitro and In Vivo

  • Kim, Yun Na;Kim, Na-Hyun;Souliya, Onevilay;Uddin, Salah;Lee, Sang Woo;Kim, Soo-Yong;Choi, Sangho;Heo, Jeong-Doo;Jeong, Eun Ju
    • Natural Product Sciences
    • /
    • 제27권4호
    • /
    • pp.274-279
    • /
    • 2021
  • The therapeutic effects of the leaves of Couroupita guianensis, a large tropical tree in the family of Lecythidaceae improving testosterone-induced Benign Prostatic Hyperplasia (BPH) were tested in vitro and in vivo. In BPH rats induced by castration and testosterone treatment, the prostate index was improved in groups administered with the extracts of C. guianensis extracted with 50%-, 100%-ethanol or boiling water, which was comparable with positive control, finasteride. The extract C. guianensis leaves showed significant inhibition on the expressions of type 2 5-alpha reductase (5αR) in RWPE-1 human prostatic epithelial cells, and effectively attenuated the expressions of androgen receptor, type 2 5αR and proliferating cell nuclear antigen in LNCap human prostatic adenocarcinoma cells. The leaves of C. guianensis that exerted evident suppression on BPH-related biomarkers in vitro and improvement of prostate index in vivo has a potential therapeutic use for the treatment of BPH.

벼멸구 피해해석에 관한 연구 I. 벼멸구 가해시기 및 고사시기가 수도수량에 미치는 영향 (Analysis of Damage on Rice by Brown Planthopper (Nilaparvata lugens Stal) I. Effects of Infested Stages of Rice and Appearance Days of Hopper-Burn on Yield Loss)

  • 김재덕;김호중;노승표;배성호
    • 한국응용곤충학회지
    • /
    • 제23권3호
    • /
    • pp.153-157
    • /
    • 1984
  • 포장조건하에서 수잉기와 출수기에 벼멸구를 인위적으로 가해시킨 후 출수후 고사시기별로 수량수율을 조사하여 다음과 같은 결과를 얻었다. 1. 출수후 23일경에 고사된 벼는 무접종구에 비하여 등숙율은 $32.2\~37.5\%$ 현미천립중은$ 3.2\~3.5g$ 감소되었다. 2. 고사시기가 같아도 수잉기부터 가해구는 출수기부터 가해구보다 등숙율 현미천립중, 현미수량이 낮았다. 3. 고사된 벼의 감수율은 무접종에 비하여 고사시기에 따라 $24\~62\%$였으며 출수후 고사일수(X)와 수량(Y)간에는 다음과 같은 관계가 있었다. o 수잉기이후가해 : $\hat{Y}=10.145X-16.374(r=0.9726^{**})$ o 출수기이후가해 : $\hat{Y}=9.792X+26.936(r=0.8850^{**})$.

  • PDF

6-sialyllactose ameliorates dihydrotestosterone-induced benign prostatic hyperplasia through suppressing VEGF-mediated angiogenesis

  • Kim, Eun-Yeong;Jin, Bo-Ram;Chung, Tae-Wook;Bae, Sung-Jin;Park, Hyerin;Ryu, Dongryeol;Jin, Ling;An, Hyo-Jin;Ha, Ki-Tae
    • BMB Reports
    • /
    • 제52권9호
    • /
    • pp.560-565
    • /
    • 2019
  • Benign prostatic hyperplasia (BPH), a common disease in elderly males, is accompanied by non-malignant growth of prostate tissues, subsequently causing hypoxia and angiogenesis. Although VEGF-related angiogenesis is one of the therapeutic targets of prostate cancer, there is no previous study targeting angiogenesis for treatment of BPH. Dihydrotestosterone (DHT)-induced expressions of vascular endothelial growth factor (VEGF) in prostate epithelial RWPE-1 cells and human umbilical vascular endothelial cells (HUVECs). Conditioned media (CM) from DHT-treated RWPE-1 cells were transferred to HUVECs. Then, 6SL inhibited proliferation, VEGFR-2 activation, and tube formation of HUVECs transferred with CM from DHT-treated RWPE-1 cells. In the rat BPH model, 6SL reduced prostate weight, size, and thickness of the prostate tissue. Formation of vessels in prostatic tissues were also reduced with 6SL treatment. We found that 6SL has an ameliorative effect on in vitro and in vivo the BPH model via inhibition of VEGFR-2 activation and subsequent angiogenesis. These results suggest that 6SL might be a candidate for development of novel BPH drugs.