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1.
Mar Pollut Bull ; 198: 115867, 2024 Jan.
Article in English | MEDLINE | ID: mdl-38056292

ABSTRACT

Atmospheric deposition of nitrogen is one of the most important external nutrient sources. We investigated the concentrations of NO3- and NH4+ in airborne particles at both an offshore and an inshore site in the Yellow Sea. At the offshore site, devoid of local sources and located downwind from the highly developed areas of Korea and China, the concentrations of atmospheric particulate NO3- and NH4+ were ∼88 ± 101 nmol m-3 and ∼102 ± 102 nmol m-3, respectively, likely due to the transboundary long-range transport of pollutants. The inshore site showed a concentration ∼2 times higher than the offshore site. Considering not only dry inorganic nitrogen deposition but also wet and organic material deposition, the total atmospheric nitrogen deposition was estimated to contribute roughly 10 % to the new production in the Yellow Sea.


Subject(s)
Air Pollutants , Air Pollutants/analysis , Nitrogen/analysis , Dust/analysis , China , Environmental Monitoring
2.
Mar Pollut Bull ; 198: 115843, 2024 Jan.
Article in English | MEDLINE | ID: mdl-38039577

ABSTRACT

Accurately constraining the natural variability of the carbonate system is essential for evaluating long-term changes in coastal areas, which result from the absorption of anthropogenic CO2. This is particularly important given the significant variation in physical and biological processes in these regions. In this regard, the analysis of surface carbonate chemistry in the Yellow Sea was conducted using discrete seawater samples obtained from the Socheongcho Ocean Research Station (37.423°N, 124.738°E) between 2017 and 2022. Our bottle data and sensor pH measurements revealed considerable seasonal variations of aragonite saturation state (ΩAR), typically ranging from 1.6 to 3.9. These variations are particularly pronounced during the summer and early winter. Our dataset serves as a baseline for understanding the long-term changes in ocean acidification in the Yellow Sea, the complex biogeochemical processes in coastal areas, and their impact on ocean acidification.


Subject(s)
Calcium Carbonate , Seawater , Calcium Carbonate/analysis , Hydrogen-Ion Concentration , Carbon Dioxide/analysis , Carbonates/analysis , Oceans and Seas
3.
Biomater Res ; 27(1): 134, 2023 Dec 15.
Article in English | MEDLINE | ID: mdl-38102691

ABSTRACT

BACKGROUND: Tumor-derived exosomes are critical elements of the cell-cell communication response to various stimuli. This study aims to reveal that the histone deacetylase 5 (HDAC5) and p53 interaction upon radiation in hepatocellular carcinoma intricately regulates the secretion and composition of exosomes. METHODS: We observed that HDAC5 and p53 expression were significantly increased by 2 Gy and 4 Gy radiation exposure in HCC. Normal- and radiation-derived exosomes released by HepG2 were purified to investigate the exosomal components. RESULTS: We found that in the radiation-derived exosome, exosomal Maspin was notably increased. Maspin is known as an anti-angiogenic gene. The expression of Maspin was regulated at the cellular level by HDAC5, and it was elaborately regulated and released in the exosome. Radiation-derived exosome treatment caused significant inhibition of angiogenesis in HUVECs and mouse aortic tissues. Meanwhile, we confirmed that miR-151a-3p was significantly reduced in the radiation-derived exosome through exosomal miRNA sequencing, and three HCC-specific exosomal miRNAs were also decreased. In particular, miR-151a-3p induced an anti-apoptotic response by inhibiting p53, and it was shown to induce EMT and promote tumor growth by regulating p53-related tumor progression genes. In the HCC xenograft model, radiation-induced exosome injection significantly reduced angiogenesis and tumor size. CONCLUSIONS: Our present findings demonstrated HDAC5 is a vital gene of the p53-mediated release of exosomes resulting in tumor suppression through anti-cancer exosomal components in response to radiation. Finally, we highlight the important role of exosomal Maspin and mi-151a-3p as a biomarker in enhancing radiation treatment sensitivity. Therapeutic potential of HDAC5 through p53-mediated exosome modulation in radiation treatment of hepatocellular carcinoma.

4.
Exp Mol Med ; 55(10): 2260-2268, 2023 10.
Article in English | MEDLINE | ID: mdl-37779147

ABSTRACT

The interaction between the microbial environment and the host is important for immune homeostasis. Recent research suggests that microbiota dysbiosis can be involved in respiratory diseases. Emphysema is a chronic inflammatory disease, but it is unclear whether dysbiosis caused by antibiotics can affect disease progression. Here, we tried to elucidate the effect of systemic antibiotics on smoking-exposed emphysema models. In this study, the antibiotic mixture caused more alveolar destruction and airspace expansion in the smoking group than in the smoking only or control groups. This emphysema aggravation as a result of antibiotic exposure was associated with increased levels of inflammatory cells, IL-6, IFNγ and protein concentrations in bronchoalveolar lavage fluid. Proteomics analysis indicated that autophagy could be involved in antibiotic-associated emphysema aggravation, and increased protein levels of LC3B, atg3, and atg7 were identified by Western blotting. In microbiome and metabolome analyses, the composition of the gut microbiota was different with smoking and antibiotic exposure, and the levels of short-chain fatty acids (SCFAs), including acetate and propionate, were reduced by antibiotic exposure. SCFA administration restored emphysema development with reduced inflammatory cells, IL-6, and IFNγ and decreased LC3B, atg3, and atg7 levels. In conclusion, antibiotics can aggravate emphysema, and inflammation and autophagy may be associated with this aggravation. This study provides important insight into the systemic impact of microbial dysbiosis and the therapeutic potential of utilizing the gut microbiota in emphysema.


Subject(s)
Emphysema , Pulmonary Emphysema , Humans , Anti-Bacterial Agents/adverse effects , Dysbiosis , Interleukin-6/metabolism , Pulmonary Emphysema/drug therapy , Pulmonary Emphysema/etiology , Pulmonary Emphysema/metabolism , Inflammation , Autophagy
5.
PLoS One ; 18(9): e0291545, 2023.
Article in English | MEDLINE | ID: mdl-37708154

ABSTRACT

Deep reinforcement learning (DRL) is a powerful approach that combines reinforcement learning (RL) and deep learning to address complex decision-making problems in high-dimensional environments. Although DRL has been remarkably successful, its low sample efficiency necessitates extensive training times and large amounts of data to learn optimal policies. These limitations are more pronounced in the context of multi-agent reinforcement learning (MARL). To address these limitations, various studies have been conducted to improve DRL. In this study, we propose an approach that combines a masked reconstruction task with QMIX (M-QMIX). By introducing a masked reconstruction task as an auxiliary task, we aim to achieve enhanced sample efficiency-a fundamental limitation of RL in multi-agent systems. Experiments were conducted using the StarCraft II micromanagement benchmark to validate the effectiveness of the proposed method. We used 11 scenarios comprising five easy, three hard, and three very hard scenarios. We particularly focused on using a limited number of time steps for each scenario to demonstrate the improved sample efficiency. Compared to QMIX, the proposed method is superior in eight of the 11 scenarios. These results provide strong evidence that the proposed method is more sample-efficient than QMIX, demonstrating that it effectively addresses the limitations of DRL in multi-agent systems.


Subject(s)
Benchmarking , Policy , Reinforcement, Psychology
6.
Sci Rep ; 13(1): 14320, 2023 08 31.
Article in English | MEDLINE | ID: mdl-37652920

ABSTRACT

The Yellow Sea is one of the world's most abundant marine resources, providing food and economic benefits to the Korean and Chinese populations. In spring 2020, a decrease in the intensity of phytoplankton bloom was observed. While one study attributed this decline to a decrease in nutrient associated with the COVID-19 pandemic, our previous research proposed weakened thermal stratification accompanied by a surface cooling anomaly as the cause. However, the relationship between the marine environment and ecosystem has not been fully elucidated. Using observations and marine physical-biogeochemical model data, we identified the weakened stratification as a critical factor for suppressing the 2020 spring bloom. Intense vertical mixing hindered the accumulation of nutrient and chlorophyll-a concentrations within the euphotic zone, resulting in a diminished phytoplankton bloom. In contrast, reduced nitrate and phosphate concentrations in 2020 were insignificant compared to those in 2017-2019, despite the notable decline in PM2.5 in March 2020 due to COVID-19. In April 2020, nutrient levels fell within the range of interannual variability based on long-term observations, reflecting a negligible effect on the spring phytoplankton bloom. Our findings provide insight into the importance of marine physical factors on the phytoplankton biomass in the Yellow Sea.


Subject(s)
Eutrophication , Phytoplankton , Biomass , Ecosystem , Oceans and Seas
7.
Sci Rep ; 13(1): 3315, 2023 Feb 27.
Article in English | MEDLINE | ID: mdl-36849721

ABSTRACT

Although 2020 was the fourth warmest year on record in northern Asia, the cold condition in April 2020 caused severe damage to the agricultural and marine ecosystems in northeastern Asia. Previous studies have indicated that the dipole atmospheric circulation over Siberia and the East Sea (Japan Sea) produced this cold environment with strong northwesterly wind. However, the potential causes of the dipole circulation over northeastern Asia remain unclear. In this study, we found that the East Atlantic/Western Russia (EAWR) pattern and blocking combined to produce the atmospheric structure. The wave train originated from the vorticity forcing of northwestern/central Russia and propagated from Western Europe to the East Sea via the background westerly and northerly winds. In addition, the Siberian blocking days increased eleven times in April 2020 relative to the climatological average, and an easterly (westerly) anomaly was observed over Mongolia-northeastern China (northern Russia). The strong blocking and EAWR pattern led to the robust atmospheric dipole structure with a prevailing northerly flow in April 2020, thereby causing the extreme cold condition over northeastern Asia. Our results provide novel insights into the cause of extreme cold condition in April over northeastern Asia.

8.
Cells ; 11(21)2022 11 03.
Article in English | MEDLINE | ID: mdl-36359885

ABSTRACT

BACKGROUND: Recently, the duodenum has garnered interest for its role in treating metabolic diseases, including type 2 diabetes (T2DM). Multiple sessions of external photobiomodulation (PBM) in previous animal studies suggested it resulted in improved hyperglycemia, glucose intolerance, and insulin resistance with a multifactorial mechanism of action, despite the target organ of PBM not being clearly proven. This study aimed to determine whether a single session of a duodenal light-emitting diode (LED) PBM may impact the T2DM treatment in an animal model. METHODS: Goto-Kakizaki rats as T2DM models were subjected to PBM through duodenal lumen irradiation, sham procedure, or control in 1-week pilot (630 nm, 850 nm, or 630/850 nm) and 4-week follow-up (630 nm or 630/850 nm) studies. Oral glucose tolerance tests; serum glucagon-like peptide 1 (GLP-1), glucose-dependent insulinotropic polypeptide, and insulin levels; liver chemistry and histology; and gut microbiome in the PBM, sham control, and control groups were evaluated. RESULTS: In the 1-week study, duodenal dual-wavelength (D, 630/850 nm) LED PBM showed improved glucose intolerance, alkaline phosphatase and cholesterol levels, and weight gain than other groups. The D-LED PBM group in the 4-week study also showed improved hyperglycemia and liver enzyme levels, with relatively preserved pancreatic islets and increased serum insulin and GLP-1 levels. Five genera (Bacteroides, Escherichia, Parabacteroides, Allobaculum, and Faecalibaculum) were significantly enriched 1 week after the D-LED PBM. Bacteroides acidifaciens significantly increased, while Lachnospiraceae significantly decreased after 1 week. CONCLUSION: A single session of D-LED PBM improved hyperglycemia and hepatic parameters through the change of serum insulin, insulin resistance, insulin expression in the pancreatic ß-cells, and gut microbiome in T2DM animal models.


Subject(s)
Diabetes Mellitus, Type 2 , Gastrointestinal Microbiome , Glucose Intolerance , Hyperglycemia , Insulin Resistance , Animals , Rats , Diabetes Mellitus, Type 2/metabolism , Disease Models, Animal , Duodenum/metabolism , Duodenum/pathology , Glucagon-Like Peptide 1 , Insulin , Liver/metabolism
9.
Mar Pollut Bull ; 181: 113822, 2022 Aug.
Article in English | MEDLINE | ID: mdl-35716491

ABSTRACT

Surface carbonate chemistry in the Yellow Sea was investigated based on discrete seawater samples collected from 2017 to 2020 at the Socheongcho Ocean Research Station (S-ORS; 37.423°N, 124.738°E). Records of carbon parameters, including seawater CO2 partial pressure (pCO2), revealed considerable seasonal variations, with amplitudes comparable to those observed across the western part of the Yellow Sea. The study site acted as a modest sink (-0.13 mol C m-2 yr-1) for atmospheric CO2. Biological processes (primary production and respiration) and physical conditions (temperature and degree of stratification) determined seawater pCO2, which fluctuated on an intraseasonal timescale between oversaturated and undersaturated with respect to atmospheric pCO2. Variation in pCO2 was significant in summer, depending on the biological carbon drawdown and tidal mixing-induced upwelling (increased pCO2 up to ~1000 µatm). The intraseasonal variability in seawater pCO2 may bias estimated air-sea CO2 fluxes, if measurements with a coarser (seasonal) time resolution are used.


Subject(s)
Carbon Dioxide , Carbonates , Carbon , Seasons , Seawater
10.
Korean J Gastroenterol ; 79(3): 109-117, 2022 Mar 25.
Article in English | MEDLINE | ID: mdl-35342168

ABSTRACT

Background/Aims: The objective of this study was to determine the more appropriate wound-closure method by comparing the effectiveness of two methods in a group of patients who underwent ileostomy repair. Methods: The study conducted after obtaining the approval of the Institutional Review Board (IRB) included 58 patients ≥19 years of age who underwent ileostomy at the Department of Surgery at the Presbyterian Medical Center. This was a retrospective, single-center trial. Patients who underwent ileostomy closure between January 2011 and September 2017 were assigned to the primary wound-closure (PC, n=25) group and the purse-string wound-closure (PSC, n=33) group. Post-repair complications, such as wound infection, delayed healing, and patient satisfaction related to wound management, were investigated and compared according to the wound-closure method. Results: The PSC group had a significantly lower surgical site infection rate than the PC group (0% vs. 44%, p<0.001). The wound-healing period was also significantly different between the PC and PSC groups (mean 27.18 days vs. 20.96 days, p=0.023). However, the postoperative wound-healing delay of >30 days was not significantly different (39% vs. 20%, p=0.114). In addition, there were no significant differences in the response to questionnaires on patient satisfaction between the two groups. Conclusions: PSC has a lower surgical site infection rate and the wound-healing delay was not very different from that of PC. Therefore, if patients are at risk of wound infection, such as in severe wound contamination, long operating time, and immunocompromised conditions, we should consider PSC as a wound closure method of choice.


Subject(s)
Ileostomy , Surgical Wound Infection , Humans , Ileostomy/adverse effects , Ileostomy/methods , Patient Satisfaction , Retrospective Studies , Suture Techniques/adverse effects
11.
Exp Mol Med ; 54(2): 103-114, 2022 02.
Article in English | MEDLINE | ID: mdl-35115674

ABSTRACT

Despite the strong influence of the gut microbiota on atherosclerosis, a causal relationship between atherosclerosis pathophysiology and gut microbiota is still unverified. This study was performed to determine the impact of the gut microbiota on the pathogenesis of atherosclerosis caused by genetic deficiency. To elucidate the influence of the gut microbiota on atherosclerosis pathogenesis, an atherosclerosis-prone mouse model (C1q/TNF-related protein 9-knockout (CTRP9-KO) mice) was generated. The gut microbial compositions of CTRP9-KO and WT control mice were compared. Fecal microbiota transplantation (FMT) was performed to confirm the association between gut microbial composition and the progression of atherosclerosis. FMT largely affected the gut microbiota in both CTRP9-KO and WT mice, and all transplanted mice acquired the gut microbiotas of the donor mice. Atherosclerotic lesions in the carotid arteries were decreased in transplanted CTRP9-KO mice compared to CTRP9-KO mice prior to transplantation. Conversely, WT mice transplanted with the gut microbiotas of CTRP9-KO mice showed the opposite effect as that of CTRP9-KO mice transplanted with the gut microbiotas of WT mice. Here, we show that CTRP9 gene deficiency is related to the distribution of the gut microbiota in subjects with atherosclerosis. Transplantation of WT microbiotas into CTRP9-KO mice protected against the progression of atherosclerosis. Conversely, the transplantation of CTRP9-KO microbiotas into WT mice promoted the progression of atherosclerosis. Treating atherosclerosis by restoring gut microbial homeostasis may be an effective therapeutic strategy.


Subject(s)
Atherosclerosis , Gastrointestinal Microbiome , Adiponectin/genetics , Adiponectin/metabolism , Animals , Atherosclerosis/genetics , Atherosclerosis/therapy , Complement C1q , Fecal Microbiota Transplantation , Glycoproteins/genetics , Glycoproteins/metabolism , Humans , Mice , Mice, Inbred C57BL , Mice, Knockout
12.
Antibiotics (Basel) ; 10(10)2021 Oct 13.
Article in English | MEDLINE | ID: mdl-34680822

ABSTRACT

BACKGROUND: Increased prevalence of antibiotic resistance to Helicobacter pylori (H. pylori) infection worldwide has driven the search for a new therapeutic candidate. Recently, sitafloxacin, a novel 4-quinolone agent, has emerged as a new therapeutic option for H. pylori eradication, in Japan. However, data on its efficacy for H. pylori eradication in Korea are limited. Therefore, we aimed to investigate the therapeutic potential of sitafloxacin as a first-line treatment for patients with Helicobacter infection through gastric tissue culture-based studies. MATERIALS AND METHODS: We prospectively enrolled treatment-naïve patients with H. pylori infection who visited the Gil Medical Center between March 2015 and March 2018. After obtaining written informed consent from patients, a total of 121 H. pylori strains were collected. We tested the susceptibility of these strains to sitafloxacin, and other antibiotics for Helicobacter eradication, including clarithromycin (CLR), metronidazole (MTZ), amoxicillin (AMX), tetracycline (TET), levofloxacin (LEV), and ciprofloxacin (CIP) using the agar dilution technique. The minimum inhibitory concentration (MIC) of these antibiotics against H. pylori strains were determined. RESULTS: None of the H. pylori strains obtained were resistant to sitafloxacin (MIC > 1, n = 0), while other conventional eradication drugs including CLR, MTZ, AMX, and TET showed 24.8% (n = 30), 30.6% (n = 37), 5.0% (n = 6), and 0.8% (n = 1) resistance, respectively. Compared to the resistance rates of other quinolones (LEV [36.4%, n = 44] and CIP [37.2%, n = 45]), sitafloxacin showed the best antibiotic performance against Helicobacter strains (0%, n = 0). Furthermore, sitafloxacin also inhibited the growth of 14 H. pylori strains (12.4%), which were resistant to both of clarithromycin, and metronidazole, and 27 strains (22.3%) with multidrug resistance. CONCLUSIONS: Sitafloxacin might be a new promising candidate for Helicobacter eradication where antibiotic resistance for Helicobacter is an emerging medical burden, such as in Korea.

13.
Cells ; 10(9)2021 09 19.
Article in English | MEDLINE | ID: mdl-34572132

ABSTRACT

Mitochondria are essential organelles that are not only responsible for energy production but are also involved in cell metabolism, calcium homeostasis, and apoptosis. Targeting mitochondria is a key strategy for bacteria to subvert host cells' physiology and promote infection. Helicobacter (H.) pylori targets mitochondria directly. However, mitochondrial genome (mtDNA) polymorphism (haplogroup) is not yet considered an important factor for H. pylori infection. Here, we clarified the association of mitochondrial haplogroups with H. pylori prevalence and the ability to perform damage. Seven mtDNA haplogroups were identified among 28 H. pylori-positive subjects. Haplogroup B was present at a higher frequency and haplotype D at a lower one in the H. pylori population than in that of the H. pylori-negative one. The fibroblasts carrying high-frequency haplogroup displayed a higher apoptotic rate and diminished mitochondrial respiration following H. pylori infection. mtDNA mutations were accumulated more in the H. pylori-positive population than in that of the H. pylori-negative one in old age. Among the mutations, 57% were located in RNA genes or nonsynonymous protein-coding regions in the H. pylori-positive population, while 35% were in the H. pylori-negative one. We concluded that gastric disease caused by Helicobacter virulence could be associated with haplogroups and mtDNA mutations.


Subject(s)
DNA, Mitochondrial/genetics , Haplotypes , Helicobacter Infections/epidemiology , Helicobacter pylori/pathogenicity , Mutation , Stomach Diseases/epidemiology , Aged , Female , Fibroblasts/metabolism , Fibroblasts/microbiology , Fibroblasts/pathology , Gastric Mucosa/metabolism , Gastric Mucosa/microbiology , Gastric Mucosa/pathology , Genome, Mitochondrial , Helicobacter Infections/complications , Helicobacter Infections/genetics , Helicobacter Infections/microbiology , Helicobacter pylori/isolation & purification , Humans , Male , Middle Aged , Prevalence , Republic of Korea/epidemiology , Stomach Diseases/complications , Stomach Diseases/genetics , Stomach Diseases/microbiology
14.
Cancers (Basel) ; 12(9)2020 Aug 19.
Article in English | MEDLINE | ID: mdl-32825137

ABSTRACT

This study was conducted to identify the composition and diversity of the microbiome in tissues of pancreatic cancer and to determine its role. First, extracellular vesicles (EVs) were obtained from the paired tumor and normal tissues, and 16s rRNA gene sequencing was performed. We identified the microbiomes, compared the diversity between groups, and found that Tepidimonas was more abundant in tumors. Second, larger tumors resulted in lower levels of Leuconostoc and Sutterella, and increased lymph node metastasis resulted in higher levels of Comamonas and Turicibacter in tumor tissues. Moreover, in the case of tumor recurrence, the levels of Streptococcus and Akkermansia were decreased in tumor tissues. Finally, with the supernatant of Tepidimonasfonticaldi, proliferation and migration of cells increased, and epithelial-mesenchymal transition and the Tricarboxylic Acid (TCA) cycle-related metabolites were enhanced. The composition and diversity of EV-derived microbiomes are important for providing novel insights into theragnostic approaches in pancreatic cancer.

15.
Article in English | MEDLINE | ID: mdl-32041713

ABSTRACT

As concerns arise that the vancomycin MIC of methicillin-resistant Staphylococcus aureus (MRSA) could be increased by concurrent colistin administration, we evaluated the effect of colistin on vancomycin efficacy against MRSA via in vitro and in vivo studies. Among MRSA blood isolates collected in a tertiary-care hospital, we selected representative strains from community-associated MRSA strains (CA-MRSA; ST72-MRSA-SCCmec IV) and hospital-acquired MRSA strains (HA-MRSA; ST5-MRSA-SCCmec II). USA CA-MRSA (USA300), HA-MRSA (USA100), N315 (New York/Japan clone), and a MRSA standard strain (ATCC 43300) were used for comparison. We performed checkerboard assays to identify changes in the vancomycin MIC of MRSA following colistin exposure and evaluated the effect of a vancomycin-colistin combination using time-kill assays. We also assessed the in vivo antagonistic effect by administering vancomycin, colistin, and a combination of these two in a neutropenic murine thigh infection model. In the checkerboard assays, vancomycin MICs of all MRSA strains except N315 were increased by from 0.25 to 0.75 µg/ml following colistin exposure. However, the time-kill assays indicated antagonism only against ST5-MRSA and USA100, when the vancomycin concentration was twice the MIC. In the murine thigh infection model with ST5-MRSA and USA100, vancomycin monotherapy reduced the number of CFU/muscle >1 log10 compared to a combination treatment after 24 h in ST5-MRSA, indicating an antagonistic effect of colistin on vancomycin treatment. This study suggests that exposure to colistin may reduce the susceptibility to vancomycin of certain MRSA strains. Combination therapy with vancomycin and colistin for multidrug-resistant pathogens might result in treatment failure for concurrent MRSA infection.


Subject(s)
Anti-Bacterial Agents/pharmacology , Colistin/pharmacology , Methicillin-Resistant Staphylococcus aureus/drug effects , Staphylococcal Infections/drug therapy , Vancomycin/antagonists & inhibitors , Vancomycin/pharmacology , Animals , Drug Antagonism , Drug Resistance, Multiple, Bacterial , Drug Therapy, Combination , Female , Humans , Methicillin-Resistant Staphylococcus aureus/isolation & purification , Mice , Mice, Inbred ICR , Microbial Sensitivity Tests
16.
J Am Geriatr Soc ; 67(12): 2605-2609, 2019 12.
Article in English | MEDLINE | ID: mdl-31441514

ABSTRACT

OBJECTIVES: We aimed to validate a multi-sensor-based kiosk (automatically measured Short Physical Performance Battery [eSPPB] kiosk) that can perform automated measurement of the SPPB. DESIGN: Prospective, cross-sectional study. SETTING: Rehabilitation clinic of a tertiary-care hospital. PARTICIPANTS: Ambulatory outpatients, aged 65 years or older (N = 40). MEASUREMENTS: The eSPPB kiosk was developed to measure the three components of the SPPB: standing balance, gait speed, and chair stand test with embedded sensors and algorithms. Correlations between the total and component-specific scores of the eSPPB and manually measured SPPB (mSPPB), assessed by a physical therapist, were assessed. Further, correlations between SPPB parameters and geriatric functional measures were also evaluated. RESULTS: This study included 40 participants with a mean age of 74.4 ± 6.5 years, a mean total eSPPB score of 10.1 ± 2.1, and a mean total mSPPB score of 10.2 ± 2.1. The intraclass correlation coefficient between the eSPPB and mSPPB total score was 0.97 (P < .001), and the κ agreement was 0.79 (P < .001). The intraclass coefficients between the components of eSPPB and mSPPB were 0.77 (P < .001), 0.88 (P < .001), and 0.99 (P < .001) for standing balance, gait speed, and chair stand test, respectively. CONCLUSION: The newly developed kiosk might be a viable and efficient method for performing the SPPB in older adults. J Am Geriatr Soc 67:2605-2609, 2019.


Subject(s)
Physical Functional Performance , Postural Balance/physiology , Walking Speed/physiology , Aged , Aged, 80 and over , Cross-Sectional Studies , Female , Hospitals, Teaching , Humans , Independent Living , Male , Prospective Studies , Rehabilitation Centers
17.
Korean J Intern Med ; 34(1): 184-194, 2019 Jan.
Article in English | MEDLINE | ID: mdl-28859468

ABSTRACT

BACKGROUND/AIMS: Methicillin-resistant Staphylococcus aureus bacteremia (MRSAB) is a major bloodstream infection with a high mortality rate. Identification of factors associated with early mortality in MRSAB patients would be useful for predicting prognosis and developing new therapeutic options. METHODS: A prospective cohort of MRSAB patients was examined between August 2008 and June 2011. Early and late mortality was defined as death within 2 and 28 days of blood culture, respectively. The clinical and microbiological characteristics in the early and late mortality and survival groups were compared. Risk factors associated with severe sepsis or septic shock were also investigated. RESULTS: A total of 385 adult MRSAB patients whose S. aureus isolates were available were enrolled; of these patients, 25 patients (6.5%) and 50 (13%) died early and late, respectively. Compared with both the late-mortality group and the survival group, severe sepsis or septic shock was a statistically significant independent risk factor associated with early mortality. Rapidly or ultimately fatal McCabe and Jackson classification (adjusted odds ratio [aOR], 1.94; 95% confidence interval [CI], 1.25 to 3.02) and pneumonia (aOR, 2.04; 95% CI, 1.03 to 4.02) were independently associated with severe sepsis or septic shock. A vancomycin minimum inhibitory concentration (MIC) ≥ 1.5 µg/mL was associated with a reduced incidence of severe sepsis or septic shock (aOR, 0.53; 95% CI, 0.34 to 0.84). CONCLUSION: Severity of illness seems to be the most important risk factor associated with early mortality in MRSAB. Although vancomycin MIC was not independently associated with early mortality, reduced vancomycin susceptibility appears to be linked to reduced disease severity.


Subject(s)
Bacteremia/microbiology , Bacteremia/mortality , Methicillin-Resistant Staphylococcus aureus , Staphylococcal Infections/microbiology , Staphylococcal Infections/mortality , Adolescent , Adult , Aged , Aged, 80 and over , Algorithms , Bacteremia/drug therapy , Cohort Studies , Female , Genes, Bacterial , Humans , Male , Methicillin-Resistant Staphylococcus aureus/drug effects , Methicillin-Resistant Staphylococcus aureus/genetics , Methicillin-Resistant Staphylococcus aureus/pathogenicity , Middle Aged , Multivariate Analysis , Prospective Studies , Republic of Korea/epidemiology , Risk Factors , Shock, Septic/drug therapy , Shock, Septic/microbiology , Shock, Septic/mortality , Staphylococcal Infections/drug therapy , Time Factors , Vancomycin/therapeutic use , Vancomycin Resistance/genetics , Virulence/genetics , Young Adult
18.
FEMS Microbiol Ecol ; 94(9)2018 09 01.
Article in English | MEDLINE | ID: mdl-30011002

ABSTRACT

To understand prokaryotic responses during a spring bloom in offshore shelf waters, prokaryotic parameters were measured daily at a station located in the middle of the East China Sea over a six-week period from March 25 to May 19. The site experienced a phytoplankton bloom in late April, triggering changes in prokaryotic abundance and production after a lag of approximately one week. Before the bloom, changes in prokaryotic composition were small. Both during the bloom and in the post-bloom period, successive changes among bacterial groups were apparent. A SAR11 group became more dominant during the bloom period, and diverse groups belonging to the Flavobacteriia occurred dominantly during both the bloom and post-bloom periods. However, bacterial community changes at the species level during the bloom and post-bloom periods occurred rapidly in a time scale of a few days. Especially, NS5, NS4 and Formosa bacteria belonging to Flavobacteriia and bacteria belonging to Halieaceae and Arenicellaceae families of Gammaproteobacteria showed a successive pattern with large short-term variation during the period. The changes in prokaryotic composition were found to be related to phytoplankton biomass and composition, as well as seawater temperature and variations in nutrients.


Subject(s)
Flavobacteriaceae/growth & development , Gammaproteobacteria/growth & development , Phytoplankton/growth & development , Seawater/microbiology , Biomass , China , Flavobacteriaceae/classification , Gammaproteobacteria/classification , Oceans and Seas , Seasons
19.
Dig Dis Sci ; 63(5): 1229-1236, 2018 May.
Article in English | MEDLINE | ID: mdl-29516324

ABSTRACT

BACKGROUND: The fatty acid profile of the fecal metabolome and its association with colorectal cancer (CRC) has not been fully evaluated. AIMS: We aimed to compare the fecal fatty acid profiles of CRC patients and healthy controls. METHODS: We enrolled 26 newly diagnosed CRC patients and 28 healthy individuals between July 2014 and August 2014 from our institute. Long- and short-chain fatty acids were extracted from fecal samples and analyzed using gas chromatography-mass spectrometry. RESULTS: Regarding fecal long-chain fatty acids, the levels of total ω-6 polyunsaturated fatty acids and, particularly, of linoleic acid (C18:2ω-6) were significantly higher in male CRC patients than in healthy men (2.750 ± 2.583 vs. 1.254 ± 0.966 µg/mg feces, P = 0.040; 2.670 ± 2.507 vs. 1.226 ± 0.940 µg/mg feces, P = 0.034, respectively). In addition, the levels of total monounsaturated fatty acid and, particularly, of oleic acid (C18:1ω-9) were significantly higher in male CRC patients than in healthy men (1.802 ± 1.331 vs. 0.977 ± 0.625 µg/mg feces, P = 0.027; 1.749 ± 1.320 vs. 0.932 ± 0.626 µg/mg feces, P = 0.011, respectively). However, those differences were not shown in female gender. The level of fecal short-chain fatty acids was not different between CRC patients and healthy controls. CONCLUSIONS: There were changes in the profiles of fecal fatty acid metabolomes in CRC patients compared to healthy controls, implying that fecal fatty acids could be used as a novel screening tool for CRC.


Subject(s)
Biomarkers, Tumor/metabolism , Colorectal Neoplasms/diagnosis , Early Detection of Cancer/methods , Fatty Acids/metabolism , Feces/chemistry , Adult , Aged , Case-Control Studies , Colorectal Neoplasms/metabolism , Female , Gas Chromatography-Mass Spectrometry , Humans , Logistic Models , Male , Metabolome , Middle Aged , Pilot Projects , Prospective Studies
20.
Diagn Microbiol Infect Dis ; 89(2): 158-160, 2017 Oct.
Article in English | MEDLINE | ID: mdl-28780246

ABSTRACT

The plasmid-mediated colistin resistance gene, mcr-1, was identified for the first time from a hospitalized patient in South Korea. The mcr-1 gene was successfully transferred to E. coli J53 recipient and conferred resistance to colistin in the recipient. The mcr-1-harboring plasmid possessed a typical IncI2 group and did not have the mcr-1-associated ISApl1 element.


Subject(s)
Anti-Bacterial Agents/pharmacology , Colistin/pharmacology , Drug Resistance, Multiple, Bacterial/genetics , Escherichia coli Proteins/genetics , Escherichia coli/drug effects , Escherichia coli/genetics , Animals , Base Sequence , Escherichia coli/isolation & purification , Escherichia coli Infections/drug therapy , Escherichia coli Infections/microbiology , Genome, Bacterial/genetics , Humans , Livestock/microbiology , Microbial Sensitivity Tests , Plasmids/genetics , Republic of Korea , Sequence Analysis, DNA
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