• 제목/요약/키워드: respiratory resistance

검색결과 347건 처리시간 0.03초

마우스, 랫트 및 토끼에서 paraquat 중독의 병리학적 관찰 (Pathological findings of paraquat poisoning in mice, rats and rabbits)

  • 이석주;조성환
    • 대한수의학회지
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    • 제34권2호
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    • pp.339-347
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    • 1994
  • This study was carried out to investigate the pathological changes with paraquat(1.1'-dimethyl-4.4'-dipyrildiylium dichloride) administered by intraperitoneally, orally, skin applied in mice, rats and rabbits. Results were obtained as follows; In 2 days after paraquat administration clinical signs anorexia, depression, tachypnea, and tachycardia, respiratory failure, coma and death were observed in mice, rats and rabbits. Compared toxicity of paraquat with mouse were observed toward to paraquat that resistance was strong than rats and rabbits. Also, mortality of skin application were found the low than intraperitoneal and high than oral administration. In the case of gross observation were appear lips moisture in orally administered rats and rabbits by skin application. Lung of all laboratory animals were observed congestion and haemorrhage, swelling or atrophy. In the case of microscopic findings were severe congestion and haemorrhage, interstitial pneumonia of lung. Congestion and haemorrhage of liver, congestion and haemorrhage, renal tubule epithelium necrosis of kidney were observed in mice, rats and rabbits. Skin application group of mice, rats and rabbits showed infiltration of inflammatory cells and folliculitis of epidermis and dermis. Also, in oral administration group showed congestion and haemorrhage, tachment, necrosis of alimentary tract mucosa.

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한국 COPD 환자의 비만도와 근감소증 분석 (Analysis of Obesity and Sarcopenia among COPD Patients in Korea)

  • 제갈윤석
    • 한국응용과학기술학회지
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    • 제37권3호
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    • pp.604-612
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    • 2020
  • The purpose of this study is to analyze the level of obesity and sarcopenia among chronic obstructive pulmonary disease(COPD) patients in Korea. The current study recruited 75 patients with COPD who visited the department of respiratory medicine at J University Hospital in J-do. Height, body weight, waist circumference, and hip circumference were measured, and body composition, muscle strength, and flexibility were assessed. The levels of obesity were classified with body mass index(BMI), waist-hip circumference ratio(WHR) and percent body fat, and sarcopenia was classified with the value of skeletal muscle mass and muscle strength by Asian Working Group for Sarcopenia. In results, it was found that the level of obesity was very high as 43% by BMI, 88% by WHR, and 64% by percent body fat. The lower level of muscle strength was 15.50% in males and 23.50% in females. The lower level of muscle mass was 24.10% in males and .00% in females. Males who had one sarcopenia factors were 22.40%, and females were 23.50%, respectively. Males with sarcopenia were 6.90%, and females were .00%. In conclusion, regular resistance exercise is essential not only for the development of motor skills, but also for the normalization of skeletal muscle function and prevention of muscle dystrophy among COPD patients.

Benefits and risks of therapeutic alternatives for macrolide resistant Mycoplasma pneumoniae pneumonia in children

  • Yang, Hyeon-Jong
    • Clinical and Experimental Pediatrics
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    • 제62권6호
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    • pp.199-205
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    • 2019
  • Although Mycoplasma pneumoniae pneumonia (MPP) has been generally susceptible to macrolides, the emergence of macrolide-resistant MPP (MRMP) has made its treatment challenging. MRMP rapidly spread after the 2000s, especially in East Asia. MRMP is more common in children and adolescents than in adults, which is likely related to the frequent use of macrolides for treating M. pneumoniae infections in children. MRMP is unlikely to be related to clinical, laboratory, or radiological severity, although it likely prolongs the persistence of symptoms and the length of hospital stay. Thereby, it causes an increased burden of the disease and poor quality of life for the patient as well as a societal socioeconomic burden. To date, the only alternative treatments for MRMP are secondary antimicrobials such as tetracyclines (TCs) or fluoroquinolones (FQs) or systemic corticosteroids; however, the former are contraindicated in children because of concerns about potential adverse events (i.e., tooth discoloration or tendinopathy). A few guidelines recommended TCs or FQs as the second-line drug of choice for treating MRMP. However, there have been no evidence-based guidelines. Furthermore, safety issues have not yet been resolved. Therefore, this article aimed to review the benefits and risks of therapeutic alternatives for treating MRMP in children and review the recommendations of international or regional guidelines and specific considerations for their practical application.

Effects of Depression, Social Support of Tuberculosis Patients on Self-care

  • Lee, Go Un;Lee, Hye Kyung
    • 지역사회간호학회지
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    • 제33권4호
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    • pp.456-464
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    • 2022
  • Purpose: The purpose of this study was by understanding the correlation between the depression, social support and self-care of tuberculosis patients and by identifying the factors that influence the self-care. Methods: The study subjects were 119 outpatients who were diagnosed with pulmonary and respiratory tuberculosis at a university hospital in D city. The survey questions measured depression, social support, self-care. Using the SPSS/WIN 23.0 program, the collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlations and multiple regression analysis. Results: As a result of correlation analysis, there was a statistically significant negative correlation between self-care and depression (r=-.53, p<.001), and there was a significant positive correlation between self-care and social support (r=.68, p<.001). Factors affecting self-care of the subjects were social support (β=.51, p<.001), depression (β=-.32, p<.001), drug discontinuation experience (β=-.30, p<.001) and drug resistance (β=-.14, p<.001). These factors explained 62% of the variance. Conclusion: In order to improve the self-care ability of tuberculosis patients, it is necessary to develop education and nursing intervention programs that can lower patients' depression and strengthen social support.

The Role of Upper Airway Microbiome in the Development of Adult Asthma

  • Purevsuren Losol;Jun-Pyo Choi;Sae-Hoon Kim;Yoon-Seok Chang
    • IMMUNE NETWORK
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    • 제21권3호
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    • pp.19.1-19.18
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    • 2021
  • Clinical and molecular phenotypes of asthma are complex. The main phenotypes of adult asthma are characterized by eosinophil and/or neutrophil cell dominant airway inflammation that represent distinct clinical features. Upper and lower airways constitute a unique system and their interaction shows functional complementarity. Although human upper airway contains various indigenous commensals and opportunistic pathogenic microbiome, imbalance of this interactions lead to pathogen overgrowth and increased inflammation and airway remodeling. Competition for epithelial cell attachment, different susceptibilities to host defense molecules and antimicrobial peptides, and the production of proinflammatory cytokine and pattern recognition receptors possibly determine the pattern of this inflammation. Exposure to environmental factors, including infection, air pollution, smoking is commonly associated with asthma comorbidity, severity, exacerbation and resistance to anti-microbial and steroid treatment, and these effects may also be modulated by host and microbial genetics. Administration of probiotic, antibiotic and corticosteroid treatment for asthma may modify the composition of resident microbiota and clinical features. This review summarizes the effect of some environmental factors on the upper respiratory microbiome, the interaction between host-microbiome, and potential impact of asthma treatment on the composition of the upper airway microbiome.

제주지역 성인 지역사회획득 폐렴의 원인균 및 임상양상 (The Etiologic Agents and Clinical Outcomes of Adult Community-acquired Pneumonia in Jeju)

  • 전봉희;김미옥;김정홍;신상엽;이재천
    • Tuberculosis and Respiratory Diseases
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    • 제66권5호
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    • pp.358-364
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    • 2009
  • 연구배경: 폐렴의 치료는 해당 지역사회의 역학 자료, 항생제에 대한 감수성, 임상양상 등에 따라 적절한 항생제를 선택하는 것이 중요하다. 한반도 남단의 섬지역인 제주지역에서 이와 같은 연구가 시행된 바가 없다. 제주 지역에서 발생한 지역사회 획득 폐렴의 임상양상과 원인균을 전향적으로 조사하여, 향후 적절한 항생제를 선택할 수 있는 자료로 활용하고자 연구를 시행하였다. 방 법: 임상양상으로 지역사회획득폐렴을 진단 받은 환자를 대상으로 전향적으로 원인균 동정을 위해 객담 도말 및 배양검사, Streptococcus pneumoniae, Legionella 등 항원검사, Mycoplasma, Chlamydia 등에 대한 항체검사를 시행하였다. 진단 당시의 임상 양상, 검사실 자료, 초기 경험적 항생제 치료의 실패 여부 등을 분석하였다. 결 과: 203명(평균 64세)의 지역사회 획득 폐렴 환자로부터 10균주의 원인균(90명, 동정률 44.3%)이 동정되었다. 30명(33.3%)에서 두 개 이상의 세균이 동정된 다세균 감염이었다. S. pneumoniae, M. pneumoniae, C. pneumoniae, S. aureus, P. aeruginosa 등의 순으로 동정되었다. 초기 치료 실패로 항균제를 변경한 예가 약 1/4이었으며, 다세균 감염, 흉수, 높은 염증반응수치 등이 초기 치료실패의 위험요인이었다. 환자들로부터 분리된 30균주의 S. pneumoniae에서 penicillin (53.3%), macrolides (66.3%) 등에 대해 항생제 비감수성을 보였으며, levofloxacin과 ceftriaxone에 대해서는 항생제 감수성을 보였다. 결 론: 제주지역 지역사회획득 폐렴의 원인균은 S. pneumoniae이 가장 흔하고, M. pneumoniae, C. pneumoniae, S. aureus, 그람음성간균 등의 순이다. 초기 항생제 치료시 항생제 내성을 고려하여 약제를 선택해야 하며, 초기 치료 실패가 높은 임상양상에 주의를 요한다. 제주지역 지역사회획득 폐렴의 치료로 2-3세대 세팔로스포린 또는 호흡기계 퀴놀론 등을 초기 경험적 항생제로 추천한다.

Acinetobacter pullorum sp. nov., Isolated from Chicken Meat

  • Elnar, Arxel G.;Kim, Min-Gon;Lee, Ju-Eun;Han, Rae-Hee;Yoon, Sung-Hee;Lee, Gi-Yong;Yang, Soo-Jin;Kim, Geun-Bae
    • Journal of Microbiology and Biotechnology
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    • 제30권4호
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    • pp.526-532
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    • 2020
  • A bacterial strain, designated B301T and isolated from raw chicken meat obtained from a local market in Korea, was characterized and identified using a polyphasic taxonomic approach. Cells were gram-negative, non-motile, obligate-aerobic coccobacilli that were catalase-positive and oxidase-negative. The optimum growth conditions were 30℃, pH 7.0, and 0% NaCl in tryptic soy broth. Colonies were round, convex, smooth, and cream-colored on tryptic soy agar. Strain B301T has a genome size of 3,102,684 bp, with 2,840 protein-coding genes and 102 RNA genes. The 16S rRNA gene analysis revealed that strain B301T belongs to the genus Acinetobacter and shares highest sequence similarity (97.12%) with A. celticus ANC 4603T and A. sichuanensis WCHAc060041T. The average nucleotide identity and digital DNA-DNA hybridization values for closely related species were below the cutoff values for species delineation (95-96% and 70%, respectively). The DNA G+C content of strain B301T was 37.0%. The major respiratory quinone was Q-9, and the cellular fatty acids were primarily summed feature 3 (C16:1 ω6c/C16:1 ω7c), C16:0, and C18:1 ω9c. The major polar lipids were phosphatidylethanolamine, diphosphatidyl-glycerol, phosphatidylglycerol, and phosphatidyl-serine. The antimicrobial resistance profile of strain B301T revealed the absence of antibiotic-resistance genes. Susceptibility to a wide range of antimicrobials, including imipenem, minocycline, ampicillin, and tetracycline, was also observed. The results of the phenotypic, chemotaxonomic, and phylogenetic analyses indicate that strain B301T represents a novel species of the genus Acinetobacter, for which the name Acinetobacter pullorum sp. nov. is proposed. The type strain is B301T (=KACC 21653T = JCM 33942T).

Bacillus oryzicola sp. nov., an Endophytic Bacterium Isolated from the Roots of Rice with Antimicrobial, Plant Growth Promoting, and Systemic Resistance Inducing Activities in Rice

  • Chung, Eu Jin;Hossain, Mohammad Tofajjal;Khan, Ajmal;Kim, Kyung Hyun;Jeon, Che Ok;Chung, Young Ryun
    • The Plant Pathology Journal
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    • 제31권2호
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    • pp.152-164
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    • 2015
  • Biological control of major rice diseases has been attempted in several rice-growing countries in Asia during the last few decades and its application using antagonistic bacteria has proved to be somewhat successful for controlling various fungal diseases in field trials. Two novel endophytic Bacillus species, designated strains YC7007 and $YC7010^T$, with antimicrobial, plant growth-promoting, and systemic resistance-inducing activities were isolated from the roots of rice in paddy fields at Jinju, Korea, and their multifunctional activities were analyzed. Strain YC7007 inhibited mycelial growth of major rice fungal pathogens strongly in vitro. Bacterial blight and panicle blight caused by Xanthomonas oryzae pv. oryzae (KACC 10208) and Burkholderia glumae (KACC 44022), respectively, were also suppressed effectively by drenching a bacterial suspension ($10^7cfu/ml$) of strain YC7007 on the rhizosphere of rice. Additionally, strain YC7007 promoted the growth of rice seedlings with higher germination rates and more tillers than the untreated control. The taxonomic position of the strains was also investigated. Phylogenetic analyses based on 16S rRNA gene sequences indicated that both strains belong to the genus Bacillus, with high similarity to the closely related strains, Bacillus siamensis KACC $15859^T$ (99.67%), Bacillus methylotrophicus KACC $13105^T$ (99.65%), Bacillus amyloliquefaciens subsp. plantarum KACC $17177^T$ (99.60%), and Bacillus tequilensis KACC $15944^T$ (99.45%). The DNA-DNA relatedness value between strain $YC7010^T$ and the most closely related strain, B. siamensis KACC $15859^T$ was $50.4{\pm}3.5%$, but it was $91.5{\pm}11.0%$ between two strains YC7007 and $YC7010^T$, indicating the same species. The major fatty acids of two strains were anteiso-$C_{15:0}$ and iso $C_{15:0}$. Both strains contained MK-7 as a major respiratory quinone system. The G+C contents of the genomic DNA of two strains were 50.5 mol% and 51.2 mol%, respectively. Based on these polyphasic studies, the two strains YC7007 and $YC7010^T$ represent novel species of the genus Bacillus, for which the name Bacillus oryzicola sp. nov. is proposed. The type strain is $YC7010^T$ (= KACC $18228^T$). Taken together, our findings suggest that novel endophytic Bacillus strains can be used for the biological control of rice diseases.

Probiotics를 양식넙치에 투여시 Streptococcus iniae에 대한 면역반응 및 병저항성 (Dietary Administration of Probiotics, Bacillus sp. IS-2, Enhance the Innate Immune Response and Disease Resistance of Paralichthys olivaceus against Streptococcus iniae)

  • 장익수;김동휘;허문수
    • 미생물학회지
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    • 제49권2호
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    • pp.172-178
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    • 2013
  • 본 연구는 양식 넙치 Paralichthys olivaceus 사료 내 생균제 첨가가 넙치의 성장, 면역반응 및 병저항성에 미치는 영향을 평가하였다. 실험사료는 넙치용 배합사료(조단백질 52%, 조지방 11%, 조섬유 3%, 조회분 14%, 인 2.7%, 칼슘 1.5%, Suhyup Co., Korea)에 Bacillus sp. IS-2를 첨가하여 $10^3$, $10^5$, $10^7$ CFU/kg의 실험사료를 제작하였다. 2주간의 예비사육 후, 평균무게 $210{\pm}13g$인 실험어를 1,000 L 원형수조에 실험구 당 70마리씩 무작위로 배치하여 실험사료를 1일 2회 어체 중의 2%씩 12주 동안 공급하였다. 성장도 조사 결과 모든 실험구에서는 일반사료를 투여한 대조구에 비해 높은 성장률을 나타내었으며 $10^5$ CFU/kg 실험구에서는 대조구에 비해 약 13% 정도 높은 성장률을 나타내었다. 혈액분석 결과에는 glucose를 제외한 GOT, GPT, 단백질, 총콜레스테롤 등에서 실험구간 유의적인 차이를 나타내지 않아 생균제로 인한 간독성이나 어체 내 문제가 발생하지 않은 것으로 사료된다. Glucose인 경우 실험 종료 시점에서 증가되는 변화를 확인 할 수 있었는데 이는 수온, 수질에 의한 일시적인 현상이라 사료된다. Respiratory burst activity (NBT assay)에 있어서는 실험사료를 공급한 실험구가 대조구에 비해 높은 값을 확인할 수 있었으며 특히 $10^5$ CFU/kg 실험구와 $10^7$ CFU/kg 실험구에서 유의적으로 높은 값을 확인하였다. 혈청의 lysozyme 및 백혈구 활성에 있어서도 실험사료를 투여한 실험구에서 대조구에 비해 높은 활성을 확인 하였다. 공격실험 결과, Streptococcus inae를 접종한지 5일째부터 폐사가 시작되어 7일째 일반사료를 투여한 대조구에서는 100% 폐사율을 보인 반면, $10^3$ CFU/kg 실험구에서는 73%의 폐사율을 $10^5$ CFU/kg 실험구에서는 53%의 폐사율을 나타냈으며, $10^7$ CFU/kg 실험구에서는 45%의 폐사율을 보여 대조구에 비해 많게는 55% 이상의 높은 생존율을 나타내었다. 사료 내 첨가한 Bacillus sp. IS-2의 장내 생존 확인을 위해 실험이 종료 된 후 모든 실험구와 대조구 실험어의 장을 분리하여 배양 된 균체를 DNA를 분리 한 후에 제작 된 ditection primer를 이용한 PCR 결과 일반사료를 투여한 대조구를 제외한 모든 실험구에서 1,465 bp의 PCR product를 확인 할 수 있었다. 상기 결과를 토대로 양식넙치 사료 내 Bacillus sp. IS-2의 첨가는 양식넙치의 성장 및 면역증강, S. iniae에 대한 병정항성에 좋은 효과를 나타내어 사료첨가제로써의 이용 가능성이 클 것이라 사료된다.

역교잡 방법을 이용한 결핵균 embB 유전자 돌연변이 검출 (Detection of embB Gene Mutation of Mycobacterium tuberculosis by Reverse Hybridization Assay)

  • 박영길;유희경;박찬홍;류성원;이승헌;심명섭;류우진;고원중;권오정;조상래;배길한
    • Tuberculosis and Respiratory Diseases
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    • 제58권2호
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    • pp.129-134
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    • 2005
  • 배 경 : 에탐부톨의 내성여부는 결핵 환자 처방 결정에 있어서 중요 변수의 하나가 된다. 에탐부톨 내성의 상당부분이 embB 유전자의 돌연변이와 관계가 있으므로 역교잡반응법으로 이 유전자의 돌연변이를 신속하게 검출하고자 하였다. 방 법 : 에탐부톨 내성에 관련된 embB 유전자의 306번, 406번, 497번 아미노산의 정상적인 염기서열과 돌연변이 염기서열에 대한 probe를 합성하였고, 약제감수성검사에서 에탐부톨 내성균으로 나타난 149균과 전약제 감수성으로 나타난 50개균을 대상으로 조사하였다. 결 과 : 149개의 에탐부톨 내성균 중에서 embB 유전자 전체에서 돌연변이가 나타난 균은 100균주(67.1%)였으며, 그 중 embB 유전자 중 306번 돌연변이를 가진 균주가 75주(50.3%), 406번 돌연변이를 가진 균주가 16주(10.7%), 497번 돌연변이가 있는 균주가 13주(8.7%)였다. 이 중 4균주는 306번과 406번 돌연변이를 동시에 가지고 있었다. 406번 돌연변이 하나만 가지고 있는 균은 12균주(8.1%)로 이는 다른 조사에서 볼 수 없었던 비교적 높은 수치이었다. 한편 에탐부톨 및 11가지 항결핵약제에서 감수성인 50개균에서는 embB 유전자의 돌연변이를 발견하지 못하였다. 결 론 : 역교잡반응법으로 에탐부톨 내성에 관련되어 있는 것으로 알려진 embB 유전자 돌연변이를 찾는 것이 가능하였으며, 에탐부톨 내성기전 및 관련 유전자가 더 발견되어 민감도가 향상된다면 신속한 에탐부톨내성균 검출이 가능할 것으로 본다.