• 제목/요약/키워드: disease tolerance

검색결과 290건 처리시간 0.028초

만성 폐질환 환자에서의 호흡재활치료의 효과 (The Effect of Pulmonary Rehabilitation in Patients with Chronic Lung Disease)

  • 최강현;박영주;조원경;임채만;이상도;고윤석;김우성;김동순;김원동
    • Tuberculosis and Respiratory Diseases
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    • 제43권5호
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    • pp.736-745
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    • 1996
  • 배경: 호흡재활치료는 만성 폐질환 환자들의 폐기능을 호전시키지는 못하나 운동허용능(exercise tolerance)을 호전시키는 것으로 알려져 있다. 그러나 이러한 운동허용능이 증가하는 것이 유산소운동 능력 (aerobic exercise capacity)이 중가하기 때문인지는 논란이 있으며, 아직 국내에서 는 호흡재활치료에 대한 보고가 없었다. 방법: 14명의 만성 폐질환 환자(만성폐쇄성폐질환 11명, 유육종증 1명, 기관지확장증 1명, 특발성 폐섬유화증 1명, 평균 연령 $57{\pm}4$세, 남자 12명, 여자 2명)를 대상으로 6 주간의 호흡재활치료를 시행하여 치료 전후의 폐기능과 운동허용능의 변화를 관찰하였다. 결과: 1) 대상 환자의 호흡재활치료 전 평균 노력성 폐활량(FVC), 1초간 노력성호기량($FEV_1$) 및 노력성 호기중간 기류량($FEF_{25-75%}$)은 각각 예측치의 $71.5{\pm}6.4%$, $40.6{\pm}3.4%$$19.3{\pm}3.8%$ 였으며, 총 폐용량(TLC), 기능적잔기용량(FRC) 및 잔기량(RV)은 각각 $130.3{\pm}9.3%$, $157.3{\pm}13.2%$$211.1{\pm}23.9%$이었고, 확산능(diffusing capacity) 및 최대 환기량(MVV)은 각각 $59.1{\pm}1.1%$$48.6{\pm}6.2%$이었다. 이들 각 폐기능의 지표들은 호흡재활치료 전후 유의한 변화는 없었다. 2) 자전거운동력측정계 (bicycle ergometer)를 이용한 운동부하 검사상 최대 운동량(maximum work rate)은 치료전 $57.7{\pm}4.9$ watts 에서 치료후 $64.8{\pm}6.0$ watts로(P=0.036), 최대산소섭취량($VO_2$ max)은 $0.81{\pm}0.07$ L/mm에서 $0.96{\mu}0.08$ L/mm로 (P=0.004), 무산소역치 (anaerobic threshold)는 $0.60{\pm}0.06$ L/mm 에서 $0.76{\mu}0.06$ L/min로(P=0.009) 호흡재활치료후 유의하게 증가하였다. 가스교환은 호흡재활치료 전후에 변화가 없었다. 3) 지구력시험 (endurance test)상 운동일(work)이 상지는 $4.5{\pm}0.7$ joule 에서 $14.8{\pm}2.4$ joule로 (P<0.001), 하지는 $25.4{\pm}5.7$ joule에서 $42.6{\pm}7.7$로 (P<0.001) 모두 재활치료 후 유의하게 증가하였다. 6분 보행거리는 $392{\pm}35$ 미터 에서 $459{\pm}33$ 미터로(P<0.001) 치료 후 연장되었고, 최대 흡기압도 $68.5{\pm}5.4$ $CmH_2O$에서 $80.4{\pm}6.4$ $CmH_2O$로 증가하였다(P<0.001). 결론: 만성 폐질환 환자에서 6주간의 호흡재활치료는 폐기능 및 가스교환을 호전시키지는 못하였지만 운동허용능(exercise tolerance)을 호전시키는 것으로 사료되었다.

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Proposal of Applying the Exercise Program for the Prevention of Work-related Chronic Low Back Pain

  • Yang, Yeong-Ae;Kim, Seong-Su;Hur, Jin-Gang;An, Sun-Joung;Kim, Hee-Soo;Cha, Su-Min;Heo, Jun;Park, Yun-Hee;Park, Bo-Ra
    • 대한인간공학회지
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    • 제30권5호
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    • pp.571-579
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    • 2011
  • Objective: The purpose of this research is to provide exercise programs for the prevention of work related chronic back pain. Background: In order to prevent musculoskeletal disease, including proper medical care health promotion programs are needed. Method: This is a research of musculoskeletal disease looking at 618 workers working at a car engine manufacturing factory from April to July of 2008. Through questionnaire specific areas of musculoskeletal diseases experienced by the workers were identified and preventative exercise program for chronic low back pain was recommended. Result: Research showed that of the musculoskeletal disease experienced by the workers, 197 presented with low back pain, 171 presented with shoulder pain, 64 presented with neck pain and 44 presented with knee pain. The symptoms of low back pain included stiffness(143), twinge and burning sensation(24) and absence of sensation(19). Using this result 4 types of exercise programs were recommended for prevention of chronic low back pain. Conclusion: Preventative exercise programs recommended for the workers in this research is easily accessible for the workers. Use of the suggested exercise programs will inevitably decrease work related low back pain. Also 2 other recommendations were made: 1) Internal structural change may be necessary using ergonomics. 2) More exercise programs to be used to increase adaptation and tolerance of joints and muscles that are constantly used for repetitive work. Application: This study can be used to provide for the prevention of work-related Chronic Low Back pain.

Enhanced Tolerance of Chinese Cabbage Seedlings Mediated by Bacillus aryabhattai H26-2 and B. siamensis H30-3 against High Temperature Stress and Fungal Infections

  • Lee, Young Hee;Jang, Su Jeong;Han, Joon-Hee;Bae, Jin Su;Shin, Hyunsuk;Park, Hee Jin;Sang, Mee Kyung;Han, Song Hee;Kim, Kyoung Su;Han, Sang-Wook;Hong, Jeum Kyu
    • The Plant Pathology Journal
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    • 제34권6호
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    • pp.555-566
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    • 2018
  • Two rhizobacteria Bacillus aryabhattai H26-2 and B. siamensis H30-3 were evaluated whether they are involved in stress tolerance against drought and high temperature as well as fungal infections in Chinese cabbage plants. Chinese cabbage seedlings cv. Ryeokgwang (spring cultivar) has shown better growth compared to cv. Buram-3-ho (autumn cultivar) under high temperature conditions in a greenhouse, whilst there was no difference in drought stress tolerance of the two cultivars. In vitro growth of B. aryabhattai H26-2 and B. siamensis H30-3 were differentially regulated under PEG 6000-induced drought stress at different growing temperatures (30, 40 and $50^{\circ}C$). Pretreatment with B. aryabhattai H26-2 and B. siamensis H30-3 enhanced the tolerance of Chinese cabbage seedlings to high temperature, but not to drought stress. It turns out that only B. siamensis H30-3 showed in vitro antifungal activities and in planta crop protection against two fungal pathogens Alternaria brassicicola and Colletotrichum higginsianum causing black spots and anthracnose on Chinese cabbage plants cv. Ryeokgwang, respectively. B. siamensis H30-3 brings several genes involved in production of cyclic lipopeptides in its genome and secreted hydrolytic enzymes like chitinase, protease and cellulase. B. siamensis H30-3 was found to produce siderophore, a high affinity iron-chelating compound. Expressions of BrChi1 and BrGST1 genes were up-regulated in Chinese cabbage leaves by B. siamensis H30-3. These findings suggest that integration of B. aryabhattai H26-2 and B. siamensis H30-3 in Chinese cabbage production system may increase productivity through improved plant growth under high temperature and crop protection against fungal pathogens.

Feeding the extra billions: strategies to improve crops and enhance future food security

  • Stamm, Petra;Ramamoorthy, Rengasamy;Kumar, Prakash P.
    • Plant Biotechnology Reports
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    • 제5권2호
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    • pp.107-120
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    • 2011
  • The ability to feed an expanding world population poses one of the greatest challenges to mankind in the future. Accompanying the increased demand for food by the expected nine billion inhabitants of Earth in 2050 will be a continual decrease in arable land area, together with a decline in crop yield due to a variety of stresses. For these formidable challenges to be met, future crops should not only by high-yielding, but also stress-tolerant and disease-resistant. In this review, we highlight the importance of genetic engineering as an indispensable tool to generate just such future crops. We briefly discuss strategies and available tools for biotechnological crop improvement and identify selected examples of candidate genes that may be manipulated so that current biological maxima in yield may be surpassed by comfortable margins. Future prospects and the necessity for basic research aimed at identifying novel target genes are also discussed.

Development of biological agent seeded on fine sand for control of brown patch and Pythium blight disease on golf course grasses.

  • Hur, Jae-Seoun;Lim, Kwang-Mi;Oh, Soon-Ok;Yum, Kyu-Jin;Koh, Young-Jin
    • 한국식물병리학회:학술대회논문집
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    • 한국식물병리학회 2003년도 정기총회 및 추계학술발표회
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    • pp.88.1-88
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    • 2003
  • Antogonistic bacteria against Rhizoctonia solani and Pythium spp., causing serious damage to golf course grasses, were isolated from the top soil of several golf courses in Korea. The isolate of Limk0102 was selected as the biological agent by characterization of antifungal activity, large scale preparation, fungicides tolerance and ecological fitness to the targe environment. The isolate was identified as Bacillus subtilis by biochemical and physiological characterization, and 165 rDNA sequence analysis. The bacterial agent was formulated as a granule type by seeding it on fine sand. The formulated agent showed high recovery rate (more than 10$\^$8/ cells/g sand) even after 6 month-storage at room temperature with similar antifungal activity with that of original cells. In vitro, the biological agent successfully exhibited antagonistic performance on bentgrass inoculated with R. solani or Pythium spp. isolated from the diseased grasses on golf courses. Field evaluation on disease control activity and ecological fitness of the agent is now under going on several golf courses.

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Antimicrobial Cyclic Peptides for Plant Disease Control

  • Lee, Dong Wan;Kim, Beom Seok
    • The Plant Pathology Journal
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    • 제31권1호
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    • pp.1-11
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    • 2015
  • Antimicrobial cyclic peptides derived from microbes bind stably with target sites, have a tolerance to hydrolysis by proteases, and a favorable degradability under field conditions, which make them an attractive proposition for use as agricultural fungicides. Antimicrobial cyclic peptides are classified according to the types of bonds within the ring structure; homodetic, heterodetic, and complex cyclic peptides, which in turn reflect diverse physicochemical features. Most antimicrobial cyclic peptides affect the integrity of the cell envelope. This is achieved through direct interaction with the cell membrane or disturbance of the cell wall and membrane component biosynthesis such as chitin, glucan, and sphingolipid. These are specific and selective targets providing reliable activity and safety for non-target organisms. Synthetic cyclic peptides produced through combinatorial chemistry offer an alternative approach to develop antimicrobials for agricultural uses. Those synthesized so far have been studied for antibacterial activity, however, the recent advancements in powerful technologies now promise to provide novel antimicrobial cyclic peptides that are yet to be discovered from natural resources.

The Cell Wall Integrity MAP Kinase Signaling Pathway Is Required for Development, Pathogenicity, and Stress Adaption of the Pepper Anthracnose Fungus Colletotrichum scovillei

  • Teng Fu;Sung Wook Kang;Yong-Won Song;Kyoung Su Kim
    • Mycobiology
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    • 제51권3호
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    • pp.178-185
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    • 2023
  • The cell wall integrity (CWI) signaling pathway plays important roles in the dissemination and infection of several plant pathogenic fungi. However, its roles in the pepper fruit anthracnose fungus Colletotrichum scovillei remain uninvestigated. In this study, the major components of the CWI signaling pathway-CsMCK1 (MAPKKK), CsMKK1 (MAPKK), and CsMPS1 (MAPK)-were functionally characterized in C. scovillei via homology-dependent gene replacement. The ΔCsmck1, DCsmkk1, and ΔCsmps1 mutants showed impairments in fungal growth, conidiation, and tolerance to CWI and salt stresses. Moreover, ΔCsmck1, ΔCsmkk1, and ΔCsmps1 failed to develop anthracnose disease on pepper fruits due to defects in appressorium formation and invasive hyphae growth. These results suggest that CsMCK1, CsMKK1, and CsMPS1 play important roles in mycelial growth, conidiation, appressorium formation, plant infection, and stress adaption of C. scovillei. These findings will contribute to a better understanding of the roles of the CWI signaling pathway in the development of pepper fruit anthracnose disease.

Targeted Immunotherapy for Autoimmune Disease

  • Seung Min Jung;Wan-Uk Kim
    • IMMUNE NETWORK
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    • 제22권1호
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    • pp.9.1-9.23
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    • 2022
  • In the past few decades, biological drugs and small molecule inhibitors targeting inflammatory cytokines, immune cells, and intracellular kinases have become the standard-of-care to treat autoimmune diseases. Inhibition of TNF, IL-6, IL-17, and IL-23 has revolutionized the treatment of autoimmune diseases, such as rheumatoid arthritis, ankylosing spondylitis, and psoriasis. B cell depletion therapy using anti-CD20 mAbs has shown promising results in patients with neuroinflammatory diseases, and inhibition of B cell survival factors is approved for treatment of systemic lupus erythematosus. Targeting co-stimulatory molecules expressed on Ag-presenting cells and T cells is also expected to have therapeutic potential in autoimmune diseases by modulating T cell function. Recently, small molecule kinase inhibitors targeting the JAK family, which is responsible for signal transduction from multiple receptors, have garnered great interest in the field of autoimmune and hematologic diseases. However, there are still unmet medical needs in terms of therapeutic efficacy and safety profiles. Emerging therapies aim to induce immune tolerance without compromising immune function, using advanced molecular engineering techniques.

난치성 치주염의 질환진행 예견 인자에 관한 분석 (ANALYSIS ON THE PREDICTOR OF DISEASE PROGRESSION IN REFRACTORY PERIODONTITIS)

  • 이해준;최상묵;정종평
    • Journal of Periodontal and Implant Science
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    • 제23권1호
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    • pp.109-126
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    • 1993
  • Refractory periodontitis manifest progressive attachment loss in a rapid and unrelenting manner regardless of the type or frequency of therapy applied. The purpose of this study was ta evaluate the relation between the level of cytokines in GCF and periodontopathic microflora with disease activity of refractory periodontitis. Selection of patients with refractory periodontitis (7 males, 3 females) were made by long term clinical observation including conventional clinical history and parameters. Teeth that showed pocket depth greater than 6mm were selected as sample teeth. Subjects were examined at baseline and after 3 months. Prior to baseline test, individual acrylic stent was fabricated. Reference grooves were made on each sample tooth site. Pocket depth and attachment loss were measured by Florida Probe. Gingival index was measured at 4 sites each sample teeth. Disease activity was defined as attachment loss of ${\ge}$ 2.1mm, as determined by sequential probing and tolerance method. The pattern and amount of alveolar bone resorption was observed with quantitative digital subtraction image processing radiography. Morphological analysis of subgingival bacteria was taken by phase contrast microscopy. Predominant cultivable bacterial distribution and frequency were compared between disease-active and disease-inactive site using immunofluorescence microscopy and selective microbial culturing. Levels of $interleukin-l{\beta}$, 2, 4, 6 and $TNF-{\alpha}$ in GCF and blood serum sample were quantified by ELISA. In active sites, P. intermedia was significantly increased to compare with inactive site. $IL-1{\beta}$, IL-2, IL-6 and $TNF-{\alpha}$ in GCF were increased in active sites and IL-2 in serum was increased in active patients significantly. Alveolar bone loss in active site was correlated with $IL-1{\beta}$, IL-2 in GCF. And loss of attachment in active site was correlated with IL-2 in GCF. These results demonstrate that IL-2 in serum, $IL-1{\beta}$, IL-2, IL-6 and $TNF-{\alpha}$ in GCF, P, intermedia might be used as possible predictors of disease activity in refractory periodontitis before it is clinically expressed as attachment loss and quantitative alveolar bone change.

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Increased Expression of ATP-sensitive $K^+$ Channels Improves the Right Ventricular Tolerance to Hypoxia in Rabbit Hearts

  • Choi, Seong-Woo;Ahn, Jun-Seok;Kim, Hyoung-Kyu;Kim, Na-Ri;Choi, Tae-Hoon;Park, Sung-Woo;Ko, En-A;Park, Won-Sun;Song, Dae-Kyu;Han, Jin
    • The Korean Journal of Physiology and Pharmacology
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    • 제15권4호
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    • pp.189-194
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    • 2011
  • ATP-sensitive $K^+$ channels ($K_{ATP}$) are major component of preventing ischemia-reperfusion injury. However, there is little information regarding to the expressional difference of $K_{ATP}$ and its function between left and right ventricles. In this study, we measured the lactate dehydrogenase release of rabbit heart slices in vitro and determined the difference of the $K_{ATP}$ expression at the both ventricles by measuring the level of $K_{ATP}$-forming Kir6.2 (OcKir6.2) mRNA using in situ hybridization. The hearts were preconditioned with 15 min hypoxia and reoxygenated for 15 min before a hypoxic period of 60 min, followed by reoxygenation for 180 min. With hypoxic preconditioning (100% $N_2$) with 15 min, left ventricles (LV) showed higher release of LDH comparing with right ventricles (RV). Adding $K_{ATP}$ blocker glibenclamide ($10{\mu}M$) prior to a hypoxic period of 60 min, hypoxic preconditioning effect of RV was more abolished than LV. With in situ hybridization, the optical density of OcKir6.2 was higher in RV. Therefore, we suggest that different $K_{ATP}$ expression between LV and RV is responsible for the different response to hypoxia and hypoxic preconditioning of rabbit hearts.