• 제목/요약/키워드: Major disease

검색결과 3,377건 처리시간 0.033초

국내 양돈장의 사육구간별 주요 소화기질병 원인체 유병율 조사 (Prevalence of major enteric pathogens in different feeding groups of pig in Korean pig farms)

  • 정윤수;박유리;강대영;한도현;윤두학;정병열;박최규
    • 한국동물위생학회지
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    • 제39권4호
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    • pp.211-219
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    • 2016
  • For determining the prevalence of major enteric pathogens, clinical examination and etiological diagnosis were carried out on 75 Korean pig farms. Enteric disease-suspected signs were observed in 90.7% of the farms and the incidence and severity were higher in younger age groups of the pigs. Five of seven pathogens were detected in 375 fecal samples collected from the 75 farms, and the farm-level prevalence of porcine rotavirus group A (PoRVA), pathogenic Escherichia (E.) coli, Lawsonia (L.) intracelluraris, Salmonella spp., and Brachyspira (B.) hyodysenteriae was 54.7%, 54.7%, 16.0%, 10.7% and 2.7%, respectively. PoRVA was extensively infected in suckling and weaning pig groups. The prevalence of pathogenic E. coli was highest in suckling period, and after the period, it exhibited a tendency to decrease. Salmonella spp. and L. intracelluraris were detected in all feeding groups of pigs in a ratio of 1.3~6.7%. B. hyodysenteriae was detected in 1.3~2.7% of growing and fattening pig groups but not detected in suckling and weaning pig groups. At least one or more pathogens were detected in 30.1% of 375 fecal samples. Among these, 25.0% or 5.1% of cases were single or mixed infection. Enteric disease signs of the pigs were significantly co-related with the detection of PoRVA, pathogenic E. coli or Salmonella spp. (P<0.01) but not with L. intracelluraris or B. hyodysenteriae (P>0.05). Conclusively, it will be expected that these data obtained in this study are very useful for subsequent studies and prevention strategies for swine enteric disease in Korean pig farms.

피지에서의 만성병 관리 (A Study on the Management of Non-Communicable Disease in Fiji)

  • 김대선;;;이철우
    • 적정기술학회지
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    • 제6권2호
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    • pp.163-173
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    • 2020
  • ODA 사업을 성공적으로 수행하기 위해서는 수요 국가에서 취약하고 필요한 분야가 무엇인지 정확히 아는 것이 중요하다. 보건분야는 대부분의 개발 도상국에서 우선순위의 첫 번째를 차지하고 있다. 이 연구는 ODA 프로젝트 계획에 도움이 되고자 피지에서의 비전염병 질환(NCD) 상황을 소개하기 위해 수행되었다. 2016년 피지의 주요 사망 원인은 당뇨병, 허혈성심장병, 뇌혈관질환, 만성신장질환, 하기도감염, 천식 등이다. 같은 해 한국의 주요 사망 원인은 암, 허혈성심장병, 뇌혈관질환, 폐렴, 자살, 당뇨병 순이다. 비전염성 질환으로서의 만성 질환은 생활 습관 및 소비 패턴의 변화와 인구 고령화로 인해 지속적으로 증가하고 있다. 이러한 세계적인 추세는 피지와 한국에서도 명백하며 NCD의 치료 및 관리를위한 사망률 및 개인 비용 증가에 반영된다. 많은 연구에서 개별 환자에 맞춘 지속적이고 포괄적인 치료의 필요성이 제안되었으며, 이러한 치료를 제공하기 위해 NCD 환자를 관리하는 체계적인 프로그램 개발이 권장되었다. 피지 정부는 2015-2019 년 NCD 전략계획을 개발했으며 요인별로 NCD의 유병률을 낮추려고 노력해왔다. 국가 차원의 NCD 정책을 안내하는 WHO 글로벌 행동 계획은 지역 사회 수준의 NCD 예방 및 관리 모델을 필요로 한다. 이런 측면에서 ODA도 직접적인 지원만이 아니라 시스템관리 지원도 고려할 만하다.

당뇨병성 족부 질환에 의한 하지 절단 후 임상적 분석과 결과 (Clinical Analysis and Results after the Amputations of Lower Extremities due to Diabetic Foot)

  • 김택선;강종우;이상준;허영재;김학준
    • 대한족부족관절학회지
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    • 제13권1호
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    • pp.50-54
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    • 2009
  • Purpose: The authors evaluated the clinical results and prognosis after amputating the lower extremity due to diabetic foot. Materials and Methods: From 1991 to 2003, the patients who had suffered amputation of his lower extremity due to diabetic foot ulcer were evaluated retrospectively. 79 patients were male and 6 patients were female. The author evaluated the patient who had the ipsilateral additional surgery, contralateral amputation, level of blood sugar, combined disease and mortality rate within 5 years from medical record. Statistical analysis was done by Chi-square test and Kaplan-Meier survival test. Results: Mean age of patients who had first experienced amputation was 63.4 years old. The mean duration of diabetes until amputation was $14.5{\pm}7.5$ years. Major amputations were 50 cases and minor amputations 35 cases. 20 patients (23.5%) were suffered ipsilateral secondary surgery including revised stump. Overall 5-year mortality rate was 18.8% (16 cases). Death rate within 1 year was 8.2% (7 cases), mortality rate within 3 years was 14.1% (12 cases). 5-year mortality rate after major amputation was 20% (10 cases) and after minor amputation was 17.1% (6 cases). It was statistically significant (p<0.05). Patient who underwent more than 2 combined vascular related disease had higher mortality rate than diabetic amputee without combined disease (p<0.05). Conclusion: Mortality rate after major amputation was significant higher than amputation after minor amputation in diabetic patients from our data.

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무, 배추 및 고추종자의 분쟁사례연구 (The Study on the Disputes Originated from the Seeds of Radish, Chinese Cabage, and Pepper)

  • 박태영;윤화모;민병훈
    • 자연과학논문집
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    • 제8권2호
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    • pp.153-158
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    • 1996
  • '농산종묘법'하에서 1968년부터 1970년 사이에 발생한 채소 종자분쟁은 177건 이었다. 이중 발아불량에 대한 종자분쟁은 46건(26%)으로 가장 많았으며 불량종자는 43건(24.3%), 수입종자에 대한 분쟁은 42건(23.7%) 이형주에 대한 분쟁은 27건(15.6%) 순이었다.'종묘관리법'하에서 모든 채소로부터 발생한 종자분쟁은 1976년부터 1995년 사이에 175건 이었는데 무가 53건(30%)으로 비교적 많았으며 배추 19건(11%), 고추 17건(10%) 순이었다. 무에서 발생한 종자분쟁의 유형은 추대(36%), 파종기불이행(21%), 순도불량(19%) 등이었으며 배추는 미량원소 결핍(27%), 발아불량(21%), 결구불량(16%), 병해(16%) 등이었고 고추는 착과불량(6%), 기형과발생(5%), 병해(3%) 등이었다.

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한국 직장성인의 만성 주요 질환 유병률과 행태에 관한 연구 (Prevalence Rates of Major Chronic Adult Diseases among Korean Employees)

  • 이규장;김순기;김정화;조경진
    • 대한임상검사과학회지
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    • 제41권4호
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    • pp.196-207
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    • 2009
  • For the estimation of prevalence state of major chronic adult disease and their relationships with drinking and smoking habits in the Korean employees, we analyzed a medical check-up data of 155,799 subjects that was accumulated during the year of 2008. In age and sex distribution of the sample, male subjects were 106,229 and female 51,827 showing the ratio of 2:1 and the majorities were 30s and 40s covering 70.7% of the total. The prevalence rates of major chronic diseases were obesity 29.8% (male 38.3%, female 12.3%), hypertension 4.1%, HBV carrier inactive 3.3%, diabetes mellitus 2.9%, hypothyroidism 1.7% (male 1.3%, female 2.4%), hyperlipidemia 1.1%, hyperthyroidism 1.4% (male 1.1%, female 2.1%), osteoporosis 1.4% (male 1.4%, female 1.4%), anemia 0.9% (male 0.3%, female 2.0%) and renal disease 0.9%. The frequency of and volume of drinking in male group were 4.6 times and 7.5 times higher than female group respectively. The 33.8% of the workers were smoking currently. In the serological tests, all the items such as AST, ALT, ${\gamma}-GTP$, LDH for liver function, Cholesterol, TG, uric acid for hyperlipidemia and BP systolic, Fasting blood sugar, BMI for metabolic syndrome were significantly higher in the more drinking and more smoking groups than other groups (p<0.001). The higher prevalence rates in male group in the liver disease seems to be strongly related with the drinking and smoking habits in male employees. We suggest that employees should rather relying on leisure or hobbies than drinking and smoking for the stress relief.

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Antibody Response to Crude Cell Lysate of Propionibacterium acnes and Induction of Pro-Inflammatory Cytokines in Patients with Acne and Normal Healthy Subjects

  • Basal, E.;Jain, A.;Kaushal, G.P.
    • Journal of Microbiology
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    • 제42권2호
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    • pp.117-125
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    • 2004
  • Propionibacterium acnes (P. acnes) plays an important role in the disease pathogenesis of acne vulgaris, a disorder of pilosebaceous follicles, seen primarily in the adolescent age group. In the present study, the presence of antibodies against P. acnes (MTCC1951) were detected in acne patient (n=50) and disease free controls (n=25) using dot-ELISA and Western blot assay. The ability of P. acnes to induce pro-inflammatory cytokines by human peripheral blood mononuclear cells (PBMCs), obtained from acne patients and healthy subjects, were also analysed. The patients (n=26) who were culture positive for skin swab culture, were found to have a more advanced disease and higher antibody titres (1:4000 to >1:16000) compared to the P. acnes negative patients (n=24) and normal controls (n=25). An analysis of patients' sera by western blot assay recognized a number of antigenic components of P. acnes, rang-ing from 29 to 205 kDa. The major reactive component was an approximately 96 kDa polypeptide, which was recognised in 92% (24 of 26) of the patients sera. Further, the P. acnes culture supernatant, crude cell lysate and heat killed P. acnes whole cells, obtained from 72-h incubation culture, were observed to be able to induce significant amounts of IL-8 and tumor necrosis factor alpha (TNF-${\alpha}$) by the PBMCs in both the healthy subjects and patients, as analysed by cytokine-ELISA. The levels of cytokines were significantly higher in the patients than the healthy subjects. A major 96 kDa polypep-tide reactant was eluted from the gel and was found to cause dose dependent stimulation of the pro-ductions of IL-8 and TNF-${\alpha}$. Thus, the above results suggest that both humoral and pro-inflammatory responses play major roles in the pathogenesis of acne.

만성신장병환자에서 apixaban과 warfarin의 안전성 비교: 체계적 문헌고찰 및 메타분석 (Apixaban versus Warfarin in Patients with Chronic Kidney Disease; A Systematic Review and Meta-analysis)

  • 남재현;김채영;이유경;정다움;곽혜영;정지은
    • 한국임상약학회지
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    • 제31권2호
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    • pp.87-95
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    • 2021
  • Background: Patients with chronic kidney disease (CKD) are at a high risk of stroke-related morbidity, mortality, and bleeding. However, the overall risk/benefit of anticoagulant therapy among patients with CKD remains unclear. Methods: The MEDLINE, EMBASE, and CENTRAL databases were comprehensively searched until July 31, 2020, to investigate the safety and efficacy of apixaban in patients with stage 4 or 5 CKD, as compared with warfarin. The primary outcome was an incidence of major bleeding. Secondary outcomes included composite bleeding (major, clinically relevant, and minor bleeding), venous thromboembolism (VTE), stroke, and death. Results: In total, seven studies consisting of 10,816 patients were included. Compared with warfarin, apixaban was associated with a reduced risk of major bleeding (OR 0.49, 95% CI 0.41-0.58). In terms of composite bleeding, apixaban tended to pose a significantly lower risk than warfarin (OR 0.51, 95% CI 0.37-0.71). There was no difference between apixaban and warfarin with respect to the risk of stroke or death (stroke: OR 1.23, 95% CI 0.49-3.12; death: OR 0.73, 95% CI 0.45-1.18). Conclusion: Among patients with stage 4 or 5 CKD, the use of apixaban was associated with a lower risk of bleeding compared to warfarin and was also found to pose no excess risk of thromboembolic events.

Does a Frontal 2-Electrode Electroencephalogram Provide Sufficient Neuropsychological Information in Various Major Psychiatric Disorders?

  • Sol Han;Hyen-Ho Hwang;Kang-Min Choi;Sungkean Kim;Seung-Hwan Lee
    • 대한불안의학회지
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    • 제20권1호
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    • pp.8-16
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    • 2024
  • Objective : The purpose of this study is to compare the signal obtained from the frontal 2-electrodes EEG with that obtained from the temporal, central, and parietal 2 electrodes. Methods : EEGs were recorded in a total of 67 patients with major depressive disorder (MDD), 104 patients with schizophrenia (SCZ), and 29 patients with Alzheimer's disease (AD). For each disease group, there were healthy controls (HC) that were paired accordingly (HC1=69, HC2=104, HC3=27). The following measurements were compared across electrodes: band power, alpha peak frequency (APF), APF power, alpha asymmetry (AA), and Kolmogorov complexity (KC). Results : Statistically significant differences were found in band power measured from frontal electrodes compared to electrodes placed in other locations. Specifically, the power of theta waves was measured higher in the temporal electorodes, alpha 1 and alpha 2 waves in the parietal, beta 1 and beta 2 in the central, and gamma waves in the temporal electrodes. Both SCZ and AD patients showed increased theta power in all electrodes. In SCZ patients, APF decreased in the central and temporal electrodes, but the APF power analysis showed no difference between the patients and controls. Additionally, AD patients exhibited increased AA in the central EEG, while SCZ patients showed decreased KC in the parietal and temporal electrodes. Conclusion : Depending on the electrode location, sensitive EEG frequencies differed. Compared with signals from other electrodes, frontal EEG in MDD patients revealed generally constant signal values, though the temporo-parieto-central electrodes appeared to be more reliable in SCZ and AD patients.

Hypoxia-Inducible Factor-1 Alpha Stabilization in Human Macrophages during Leishmania major Infection Is Impaired by Parasite Virulence

  • Ben-Cheikh, Ali;Bali, Aymen;Guerfali, Fatma Z;Atri, Chiraz;Attia, Hanene;Laouini, Dhafer
    • Parasites, Hosts and Diseases
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    • 제60권5호
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    • pp.317-325
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    • 2022
  • Hypoxia-inducible factor-1 alpha (HIF-1α) is one of the master regulators of immune and metabolic cellular functions. HIF-1α, a transcriptional factor whose activity is closely related to oxygen levels, is a target for understanding infectious disease control. Several studies have demonstrated that HIF-1α plays an important role during the infectious process, while its role in relation to parasite virulence has not been addressed. In this work, we studied the expression levels of HIF-1α and related angiogenic vascular endothelial growth factor A (VEGF-A) in human macrophages infected with promastigotes of hypo- or hyper-virulent Leishmania major human isolates. L. major parasites readily subverted host macrophage functions for their survival and induced local oxygen consumption at the site of infection. In contrast to hypo-virulent parasites that induce high HIF-1α expression levels, hyper-virulent L. major reduced HIF-1α expression in macrophages under normoxic or hypoxic conditions, and consequently impeded the expression of VEGF-A mRNA. HIF-1α may play a key role during control of disease chronicity, severity, or outcome.

Comparative co-expression analysis of RNA-Seq transcriptome revealing key genes, miRNA and transcription factor in distinct metabolic pathways in diabetic nerve, eye, and kidney disease

  • Asmy, Veerankutty Subaida Shafna;Natarajan, Jeyakumar
    • Genomics & Informatics
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    • 제20권3호
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    • pp.26.1-26.19
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    • 2022
  • Diabetes and its related complications are associated with long term damage and failure of various organ systems. The microvascular complications of diabetes considered in this study are diabetic retinopathy, diabetic neuropathy, and diabetic nephropathy. The aim is to identify the weighted co-expressed and differentially expressed genes (DEGs), major pathways, and their miRNA, transcription factors (TFs) and drugs interacting in all the three conditions. The primary goal is to identify vital DEGs in all the three conditions. The overlapped five genes (AKT1, NFKB1, MAPK3, PDPK1, and TNF) from the DEGs and the co-expressed genes were defined as key genes, which differentially expressed in all the three cases. Then the protein-protein interaction network and gene set linkage analysis (GSLA) of key genes was performed. GSLA, gene ontology, and pathway enrichment analysis of the key genes elucidates nine major pathways in diabetes. Subsequently, we constructed the miRNA-gene and transcription factor-gene regulatory network of the five gene of interest in the nine major pathways were studied. hsa-mir-34a-5p, a major miRNA that interacted with all the five genes. RELA, FOXO3, PDX1, and SREBF1 were the TFs interacting with the major five gene of interest. Finally, drug-gene interaction network elucidates five potential drugs to treat the genes of interest. This research reveals biomarker genes, miRNA, TFs, and therapeutic drugs in the key signaling pathways, which may help us, understand the processes of all three secondary microvascular problems and aid in disease detection and management.