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1.
World J Mens Health ; 2024 Apr 19.
Article de Anglais | MEDLINE | ID: mdl-38772534

RÉSUMÉ

PURPOSE: Although lower body strength and size are often regarded as symbols of masculinity, their relationship to testosterone is unclear. This study aimed to determine the correlation between lower body strength, size, and testosterone levels. MATERIALS AND METHODS: Serum testosterone levels, waist circumference, and body mass index (BMI) were measured in 69 men with erectile dysfunction (age >40 years). The circumferences of the thigh and calf were measured, and the muscle strength of the knee joints was evaluated using an isokinetic dynamometer. Patients were classified into three groups according to testosterone levels (group 1, <230 ng/dL; group 2, 230 to 350 ng/dL; group 3, >350 ng/dL). Differences in calf and thigh circumference, bilateral knee extension, and flexion strength between the three groups were investigated using a one-way analysis of variance. Pearson's chi-square test was used to assess differences in lifestyle habits and underlying diseases. A partial correlation analysis was conducted to determine the association between testosterone levels and lower body size and strength. RESULTS: There was no difference in BMI among the three groups, but waist circumference was significantly larger in group 1 than in groups 2 and 3. When comparing weight-adjusted values, bilateral thigh circumference showed a significant difference among the three groups. There was also a significant difference between the three groups in the weight-adjusted left calf circumference and in the weight-adjusted right knee extension strength. The partial correlation test showed a significant positive correlation between thigh and calf circumference values adjusted for weight and serum testosterone levels. Weight-adjusted knee extension strength demonstrated a significant positive correlation with serum testosterone levels. CONCLUSIONS: Weight-adjusted thigh and calf circumferences, along with the thigh-to-waist ratio, showed a positive correlation with testosterone levels. Weight-adjusted knee extension strength was positively correlated with testosterone levels. Therefore, a robust thigh and strong lower body are related to testosterone.

2.
World J Mens Health ; 42(1): 178-187, 2024 Jan.
Article de Anglais | MEDLINE | ID: mdl-37118963

RÉSUMÉ

PURPOSE: This study analyzed changes in body composition and physical fitness in men with testosterone deficiency (TD) after testosterone treatment (TT) and examined the correlations of body composition and physical fitness with serum testosterone levels and hypogonadal symptoms. MATERIALS AND METHODS: Seventy patients with TD were divided into control (group I, n=23) and experimental (group II, n=47) groups. Patients in the experimental group were administered intramuscular testosterone enanthate (250 mg) for six months. The aging males symptom scale (AMS) score, international prostate symptom score (IPSS), body mass index, waist circumference, and serum laboratory values were measured at baseline and at the end of the study. Bioelectrical impedance analysis was used to assess the patients' body composition. Seven types of basic exercise tests were used to evaluate the patients' physical fitness. RESULTS: After six months, there were no significant differences in group I, while group II had significantly improved IPSS and AMS scores; increased hemoglobin, hematocrit, prostate-specific antigen, and testosterone levels and skeletal muscle mass; and waist circumference, and body fat mass. All elements of the physical fitness test were significantly improved in group II, with the exceptions of flexibility and endurance. Decreased waist circumference was correlated with changes in testosterone levels in group II, and the IPSS, cardiorespiratory fitness, and agility were correlated with improved hypogonadal symptoms. CONCLUSIONS: TT improved the hypogonadal and lower urinary tract symptoms in patients with TD and improved body composition, physical fitness, and metabolic syndrome parameters. Increased testosterone and improved hypogonadal symptoms were correlated with a decrease in waist circumference and an improvement in cardiorespiratory fitness and agility. As such, when implementing TT, we should consider whether these areas may be improved, as this can help to predict the effect.

3.
Front Microbiol ; 14: 1273725, 2023.
Article de Anglais | MEDLINE | ID: mdl-38075926

RÉSUMÉ

Certain Bacillus thuringiensis (Bt) strains such as Bt subsp. kurstaki and Bt subsp. aizawai have been widely used for pest management in agricultural practices. However, each strain only shows high specificity for pest control against a narrow range of lepidopteran species, and numerous lepidopteran pests have developed resistance to commercialized Bt strains. Therefore, there is a need for the development of novel Bt bioinsecticides which allow for potent and broad-spectrum insecticidal activity against lepidopteran species, including Spodoptera spp. (Noctuidae) and Plutella xylostealla (Plutellidae). In order to develop a novel bioinsecticide using Bt subsp. kurstaki IMBL-B9 (Btk IMBL-B9) that exhibits excellent insecticidal activity against three different lepidopteran species, we have developed a viable microencapsulation-based spray drying Btk IMBL-B9 formulation. The spore-crystal complex of Btk IMBL-B9 was microencapsulated using coating materials such as gum arabic, maltodextrin, and corn starch via spray drying. The encapsulated formulation of Btk IMBL-B9 presented an increased survival rate and storage stability at 54 ± 2°C for up to 6 weeks. The formulation showed similar insecticidal activity as the commercial bioinsecticide XenTari® against P. xylostella. Under controlled greenhouse conditions, the Btk IMBL-B9 formulation was more effective against Lepidoptera spp. S. frugiperda and P. xylostella, than XenTari®. These results suggest that the microencapsulation-based spray drying formulation of Btk IMBL-B9 can be used effectively for the control of a wide range of moths.

4.
Diagnostics (Basel) ; 13(6)2023 Mar 21.
Article de Anglais | MEDLINE | ID: mdl-36980501

RÉSUMÉ

A balanced interaction between the host and its microbiome is crucial to health. Research regarding the significance of the gut and vaginal microbiomes in female health is substantial. However, less data regarding the urinary microbiome are available. Interactions between the gut, vaginal, and urinary microbiomes are also currently being researched. Hormone-induced dysbiosis after menopause is believed to have effects on physical changes and health consequences. Postmenopausal changes in the gut microbiome are associated with increased short-chain fatty acids and hydrogen sulfide levels. Increased vaginal pH caused by reduced estrogen alters the vaginal microbiome, resulting in reduced levels of Lactobacillus. Such changes influence the vaginal structure and functions, contributing to the onset of genitourinary syndrome of menopause. A dysbiosis of the urinary microbiome is associated with urgency and urinary incontinence and also related to interstitial cystitis/bladder pain syndrome and neuropathic bladder. As these diseases commonly affect postmenopausal women, hormone-induced changes in the microbiome may play a role. Menopause increases the alpha diversity of the urinary microbiome and lowers the percentage of Lactobacillus in urine, and such changes precede recurrent cystitis. More research regarding the effects of changes in the urinary microbiome due to menopause on urinary tract diseases is needed.

5.
Transl Androl Urol ; 12(1): 19-32, 2023 Jan 30.
Article de Anglais | MEDLINE | ID: mdl-36760873

RÉSUMÉ

Background: The maintenance of ureteral stents is vital in patients with severe ureteral stricture or ureteral obstruction. This study aimed to identify microbiological characteristics and factors associated with bacteriuria and symptomatic urinary tract infection (UTI) in these patients. Methods: This study is an observational cross-sectional study. From August 2018 to January 2021, urine samples from 307 consecutive patients who required stent indwelling and had replaced ureteral stents more than once were collected before the replacement procedure and analyzed by microbiological testing. Patient demographics, laboratory test results, and data on dependent functional capacity and indwelling urethral catheter use were collected from all patients. Additionally, ureteral stenting duration and number of previous ureteral stent replacements were reviewed. The primary endpoint was the incidence rate of bacteriuria and extended-spectrum beta-lactamase (ESBL)-producing bacteria. The secondary endpoint was the factors predisposing patients with ureteral stents to bacteriuria, ESBL-producing bacteria, and the development of symptomatic UTIs. Results: Bacteriuria was observed in 187 patients (60.9%). Among the bacteria identified in urine, Escherichia coli was the most commonly isolated microorganism, followed by Enterococcus, Candida species, Staphylococcus species, Klebsiella, and Pseudomonas. Using multivariate analysis, bacteriuria was significantly associated with old age, female sex, presence of diabetes mellitus, impaired renal function, and longer duration of ureteral stenting. ESBL-producing bacteria were detected in 52 isolates (27.8%). The incidence of ESBL-producing bacteria in urine culture was associated with old age and longer ureteral stenting duration. Additionally, symptomatic UTIs developed in 22 patients (7.2%). Dependent functional capacity, impaired renal function, and longer ureteral stenting duration were significantly associated with symptomatic UTIs. Conclusions: Infections related to ureteral stents showed a specific microorganism profile and resistance pattern compared to community-acquired UTIs. Additionally, we identified the factors associated with bacteriuria and symptomatic UTI in patients with retained ureteral stents and deduced that these may be associated with better outcomes in patients with retained ureteral stents.

6.
World J Mens Health ; 41(4): 874-881, 2023 Oct.
Article de Anglais | MEDLINE | ID: mdl-36649925

RÉSUMÉ

PURPOSE: Several studies have associated the serum vitamin D level with total testosterone levels and the prostate volume. Herein, we investigated the effect of vitamin D supplementation on testosterone, prostate, and lower urinary tract symptoms (LUTS) in men. MATERIALS AND METHODS: Men over 40 years of age diagnosed with a vitamin D deficiency (25[OH]D <20 ng/mL) who received vitamin D supplementation for one year were included in the study and administered 25,000 IU of cholecalciferol every 2 weeks. Prostate ultrasound, uroflowmetry, postvoid residual urine volume measurement, and serological tests (serum testosterone levels, etc.) were performed upon diagnosis and one year later. Participants also answered the International Prostate Symptom Score (IPSS) and Aging Males' Symptoms Scale (AMS) questionnaires. RESULTS: A significant increase was observed in the vitamin D level following one year of vitamin D supplementation, with a significant decrease in the postvoid residual urine volume, total IPSS score and without a significant change in the prostate volume. Improved psychological subscale score of AMS questionnaire was observed with a statistical significance. CONCLUSIONS: Vitamin D supplementation suppressed the increase in the prostate volume and improved the LUTS. Although there is no direct effect on serum testosterone levels, vitamin D supplementation helped improve hypogonadal symptoms.

7.
J Infect Chemother ; 29(1): 72-77, 2023 Jan.
Article de Anglais | MEDLINE | ID: mdl-36195248

RÉSUMÉ

INTRODUCTION: A previous study has shown that two-thirds of patients with urinary tract infections (UTIs) caused by extended-spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae experience recurrence with the same bacteria on subsequent UTI episodes. However, little is known about which patients suffer from UTI due to ESBL-producing Enterobacteriaceae repeatedly. This study aimed to investigate the risk factors for recurrent UTI due to repeated ESBL-producing organism infections. METHODS: This retrospective, single-center, observational cohort study screened all patients with UTI caused by ESBL-producing strains between January 2012 and April 2019. Among the patients who were followed up, patients who experienced UTI recurrence were enrolled and divided into two groups: ESBL recurrence group and non-ESBL recurrence group. Multivariable Cox proportional hazards regression analyses were performed to evaluate the association between patient characteristics and the development of recurrent UTI caused by ESBL-producing Enterobacteriaceae. RESULTS: A total of 330 patients were followed up after the diagnosis of UTI caused by ESBL-producing organisms. Among the patients, 115 (34.8%) experienced UTI recurrence, and 71 (61.7%) of them experienced subsequent recurrent UTI due to ESBL-producing organisms. Patient's age (hazard ratio [HR], 1.02; 95% confidence interval [CI], 1.00-1.04; P = 0.046) and recurrent UTI history (HR, 1.69; 95% CI, 1.05-2.72; P = 0.031) were significantly associated with an increased risk of recurrence with ESBL-producing Enterobacteriaceae. CONCLUSION: These findings showed that a history of previous frequent UTI recurrence is the risk factor for recurrence of UTI due to repeated ESBL producing Enterobacteriaceae infections.


Sujet(s)
Infections à Enterobacteriaceae , Infections urinaires , Humains , Études rétrospectives , Infections à Enterobacteriaceae/traitement médicamenteux , Infections à Enterobacteriaceae/épidémiologie , bêta-Lactamases , Antibactériens/usage thérapeutique , Enterobacteriaceae , Infections urinaires/traitement médicamenteux , Infections urinaires/épidémiologie , Infections urinaires/étiologie , Facteurs de risque , Études de cohortes
8.
J Microbiol Methods ; 203: 106622, 2022 12.
Article de Anglais | MEDLINE | ID: mdl-36384173

RÉSUMÉ

Although electroporation technique has been mostly used to transform Bacillus thuringiensis (Bt), this method is not readily applicable to strains other than the one for which it was optimized. Polyethylenimine (PEI) is a golden standard non-viral vector that interacts with plasmids to form compact polymeric nanoparticles (PNPs) via electrostatic interactions. This PNPs system is very attractive because they are easily prepared, able to carry large nucleic acid constructs, and show low toxicity. In this study, PEI/pBTdsSBV-VP1 PNPs were successfully prepared at various N/P ratios which is positively-chargeable polymer amine (N = nitrogen) groups to negatively-charged nucleic acid phosphate (P) groups, and the internalization of the complexes into Bt 4Q7 was confirmed by confocal laser scanning microscopy. The PEI-mediated transformation showed similar efficiency comparable to that of electroporation method, suggesting that the method of PNPs will be an effective alternative for transformation of Bt strains.


Sujet(s)
Bacillus thuringiensis , Nanoparticules , Acides nucléiques , Polyéthylèneimine , Bacillus thuringiensis/génétique , Polymères , Plasmides/génétique , ADN
9.
Pest Manag Sci ; 78(7): 2976-2984, 2022 Jul.
Article de Anglais | MEDLINE | ID: mdl-35419912

RÉSUMÉ

BACKGROUND: Bacillus thuringiensis (Bt) has been widely used as a biological control agent for lepidopteran pests. However, resistance to Bt is a major concern associated with Spodoptera spp. (Noctuidae) and Plutella xylostella (Plutellidae). For efficient control of Noctuidae and Plutellidae, novel Bt strains which have high toxicity and a broad host range are needed. RESULTS: To develop novel Bt strains as used for bio-insecticides, the Bt IMBL-B9 with high toxicity against Spodoptera exigua, Spodoptera frugiperda and P. xylostella was isolated and characterized. The Bt kurstaki IMBL-B9 strain produced bipyramidal and cuboidal crystals consisting of cry toxins with molecular weights of 130 and 65 kDa, respectively. This strain harbors eight crystal protein genes in total, including cry1Ea and one vegetative insecticidal protein gene. The median lethal concentration (LC50 ) values of IMBL-B9 against S. exigua and S. frugiperda were 21.8- and 19.3-fold lower than those of the Bt kusrstaki strain, and 5.6- and 4.9-fold lower than those of Bt aizawai strain, respectively. To evaluate the insecticidal activity of Cry proteins from IMBL-B9, cry gene-sourced recombinant Bt strains were constructed. These strains have insecticidal activity and synergic action against lepidopteran pests. CONCLUSION: In this study, a novel Bt kurstaki IMBL-B9 strain was isolated and this could be useful for the development of new bio-insecticide or cry gene-based recombinant products as an alternative solution against lepidopterans, including Noctuidae and Plutellidae. © 2022 Society of Chemical Industry.


Sujet(s)
Bacillus thuringiensis , Insecticides , Papillons de nuit , Animaux , Bacillus thuringiensis/composition chimique , Protéines bactériennes/composition chimique , Protéines bactériennes/génétique , Protéines bactériennes/pharmacologie , Agents de lutte biologique/métabolisme , Agents de lutte biologique/pharmacologie , Endotoxines/composition chimique , Endotoxines/génétique , Endotoxines/pharmacologie , Hémolysines/génétique , Hémolysines/métabolisme , Hémolysines/pharmacologie , Insecticides/métabolisme , Insecticides/pharmacologie , Papillons de nuit/génétique , Papillons de nuit/métabolisme , Lutte biologique contre les nuisibles , Spodoptera
10.
World J Mens Health ; 40(3): 501-508, 2022 Jul.
Article de Anglais | MEDLINE | ID: mdl-35021308

RÉSUMÉ

PURPOSE: Penile microvascular dysfunction is a known contributor to erectile dysfunction (ED) and penile fibrosis has been shown to impair microvascular perfusion (MVP). Our objectives were to: (i) determine beneficial effects of TPMS to modulate penile MVP, (ii) determine its mechanism, (iii) evaluate impact of cavernosal nerve injury (CNI) on penile MVP, and (iv) determine time-course of cavernosal tissue elastin changes after CNI in rats. MATERIALS AND METHODS: Adult male rats (n=5) were anesthetized and subjected to TPMS (13%, 15%, and 17%) and MVP changes were recorded using laser speckle contrast imaging (LSCI). Another group of male rats were subjected to either bilateral cavernosal nerve injury (CNI; n=7) or sham surgery (n=7). After recovery, animals were monitored for MVP using LSCI before and after TPMS. Rat penile tissues were harvested and analyzed for fibrosis using a marker for elastin. RESULTS: Rat TPMS resulted in a stimulus dependent increase in MVP; maximal perfusion was observed at 17%. L-N(G)-Nitroarginine methyl ester (L-NAME) resulted in a marked decrease in TPMS induced MVP increase (393.33 AU vs. 210.67 AU). CNI resulted in 40% to 50% decrease in MVP. CNI produced a remarkable increase in elastin deposits that are noticeable throughout the cavernosal tissues post injury. CONCLUSIONS: TPMS is a novel and non-invasive intervention to improve penile MVP after CNI. Potential application includes treatment of ED and sexual function preservation following cancer treatment, possibly through improved penile hemodynamics that might help prevent penile hypoxia and fibrosis.

11.
Front Microbiol ; 13: 1005415, 2022.
Article de Anglais | MEDLINE | ID: mdl-36601396

RÉSUMÉ

Polyurethane (PU), currently replacing existing synthetic materials worldwide, is a synthetic polymer derived from polyols, isocyanates, and a chain extender added by condensation reactions. PU wastes which are difficult to recycle, are commonly discarded in landfills and flow into ecosystems, thereby causing serious environmental problems. In recent years, insect-associated microbes have become a promising, eco-friendly strategy as an alternative to plastic recycling. This study aimed to evaluate the potential of Serratia sp. HY-72 strain isolated from the intestine of the Asian mantis (Hierodula patellifera) for PU degradation. The 65 kDa family I.3 lipase which degrades PU was identified and characterized, with a specific activity of 2,883 U mg-1. The bacterial filtrates and the recombinant lipase degraded Impranil (a colloidal polyester-PU dispersion, 100 g l-1) by 85.24 and 78.35% after 72 h incubation, respectively. Fourier transform infrared spectroscopy analysis revealed changes in Impranil functional groups, with decreased C=O functional group and aliphatic chain signals, and increased N-H bending with C-N stretching and C-O stretching. The current study also revealed that the HY-72 strain biodegraded the commercial PU foams (polyester- and polyether- PU) with 23.95 and 10.95% weight loss after 2 weeks, respectively with changes in surface morphology and structure such as cracks, roughness, and surface roughening. Altogether, this is one of the few studies reporting biodegradation of PU by the insect-associated microbe. These findings suggest that the insect-associated microbe could be a promising resource for biodegradation and recycling of plastic waste.

12.
Medicine (Baltimore) ; 100(40): e27386, 2021 Oct 08.
Article de Anglais | MEDLINE | ID: mdl-34622842

RÉSUMÉ

ABSTRACT: To investigate the differences in clinical and microbiological features in men hospitalized with community-acquired (CA) and healthcare-associated (HA) nonobstructive acute pyelonephritis (APN), as well as the predictive factors associated with bacteremia.Men discharged from urological centers with nonobstructive APN were identified using an electronic medical records system. We compared the clinical and microbiological data between subjects with CA-APN and HA-APN.Of the 245 men with nonobstructive APN, 175 had CA-APN, and 70 had HA-APN. The HA group was significantly older, had a longer hospital stay, and had more underlying diseases, bacteremia, and intensive care unit admissions than the CA group. The most commonly cultured microorganism was Escherichia coli. The susceptibility of the cultured bacteria to fluoroquinolone was 68.7% in the CA group and 45.3% in the HA group (P = .005). The proportion of extended-spectrum beta-lactamase-producing bacteria was 22.7% for CA and 53.5% for HA (P < .001). The sensitivity to piperacillin/tazobactam was 94.9% for CA and 90.0% for HA, and the sensitivity to amikacin was more than 95% for both groups. The multivariate analysis revealed that an age ≥65 years and chronic liver disease were independent predictive factors for bacteremia.The incidence of antibiotic resistance and bacteremia was higher in the HA group than in the CA group. However, resistance to fluoroquinolone and the presence of extended-spectrum beta-lactamase-producing bacteria were high in both groups. Piperacillin/tazobactam and amikacin may be suitable treatment options in men with nonobstructive APN.


Sujet(s)
Infections communautaires/épidémiologie , Infection croisée/épidémiologie , Pyélonéphrite/étiologie , Adulte , Facteurs âges , Sujet âgé , Antibactériens/usage thérapeutique , Bactériémie/épidémiologie , Comorbidité , Résistance bactérienne aux médicaments , Humains , Durée du séjour/statistiques et données numériques , Mâle , Adulte d'âge moyen , Pyélonéphrite/traitement médicamenteux , Pyélonéphrite/épidémiologie , République de Corée , Études rétrospectives
13.
J Korean Med Sci ; 36(1): e3, 2021 Jan 04.
Article de Anglais | MEDLINE | ID: mdl-33398940

RÉSUMÉ

BACKGROUND: To investigate the clinical and microbiological features of febrile patients with upper urinary tract calculi and factors that affect empirical antibiotic resistance. METHODS: A retrospective analysis was performed on 203 febrile patients hospitalized between January 2011 and December 2016 with antibiotic treatment for urinary tract infections and upper urinary tract calculi at three institutions. We collected and analyzed data, including patients' age, sex, body mass index, underlying diseases, stone-related factors, and the results of urine and blood culture examinations and antibiotic sensitivity tests. RESULTS: The male-to-female ratio was 1:2.3. Bacteria were identified in 152 of the 203 patients (74.9%). The most commonly cultured microorganisms included Escherichia coli (44.1%), followed by Enterococci spp. (11.8%), Proteus spp. (8.6%), Streptococcus agalactiae (6.6%), Klebsiella spp. (5.3%), Pseudomonas spp. (4.6%), coagulase-negative Staphylococcus (4.0%), Staphylococcus epidermidis (4.0%), Serratia spp. (2.6%), Enterobacter spp. (0.7%), Acinetobacter spp. (0.7%), and mixed infections (7.2%). Cultured bacterial species showed sex-specific differences. Multivariate analysis revealed that calculi's multiplicity was an independent predictive factor for quinolone resistance (P = 0.008). Recurrent infections were a significant predictor of cefotaxime resistance during multivariable analysis (P = 0.041). CONCLUSION: Based on the present study results, quinolone was not recommended as the empirical treatment in febrile patients with upper urinary tract calculi. Combination antibiotic therapy is recommended in cases of recurrent infections due to the possible occurrence of cefotaxime resistance.


Sujet(s)
Résistance microbienne aux médicaments , Calculs urinaires/diagnostic , Infections urinaires/diagnostic , Adulte , Sujet âgé , Sujet âgé de 80 ans ou plus , Antibactériens/pharmacologie , Antibactériens/usage thérapeutique , Escherichia coli/effets des médicaments et des substances chimiques , Escherichia coli/isolement et purification , Femelle , Humains , Klebsiella/effets des médicaments et des substances chimiques , Klebsiella/isolement et purification , Mâle , Tests de sensibilité microbienne , Adulte d'âge moyen , Quinolinone/pharmacologie , Quinolinone/usage thérapeutique , Études rétrospectives , Staphylococcus/effets des médicaments et des substances chimiques , Staphylococcus/isolement et purification , Calculs urinaires/microbiologie , Infections urinaires/traitement médicamenteux , Infections urinaires/microbiologie
14.
Plant Pathol J ; 36(3): 280-288, 2020 Jun 01.
Article de Anglais | MEDLINE | ID: mdl-32547343

RÉSUMÉ

RNA interference (RNAi) has attracted attention as a promising approach to control plant viruses in their insect vectors. In the present study, to suppress replication of the rice stripe virus (RSV) in its vector, Laodelphax striatellus, using RNAi, dsRNAs against L. striatellus genes that are strongly upregulated upon RSV infection were delivered through a rice leaf-mediated method. RNAi-based silencing of peroxiredoxin, cathepsin B, and cytochrome P450 resulted in significant down regulation of the NS3 gene of RSV, achieving a transcriptional reduction greater than 73.6% at a concentration of 100 ng/µl and, possibly compromising viral replication. L. striatellus genes might play crucial roles in the transmission of RSV; transcriptional silencing of these genes could suppress viral replication in L. striatellus. These results suggest effective RNAi-based approaches for controlling RSV and provide insight into RSV-L. striatellus interactions.

15.
Am J Mens Health ; 14(3): 1557988320917258, 2020.
Article de Anglais | MEDLINE | ID: mdl-32448046

RÉSUMÉ

Testosterone deficiency (TD) is common and impairs quality of life (QoL) in patients with chronic kidney disease (CKD). However, there are no studies about whether testosterone replacement therapy (TRT) can improve QoL in patients with CKD. Therefore, we investigated the effect of TRT on the QoL of patients with CKD and confirmed the safety of TRT. Twenty-five male patients with stages III-IV CKD whose serum testosterone levels were <350 ng/dl (TD) were enrolled and treated with testosterone gel for 3 months (group II). Age-matched controls with stages III-IV CKD and TD (group I) were recommended to exercise for the same period. Before and after the treatment, the BMI and handgrip strength were checked, serological tests were performed, and questionnaires were administered in both groups. Compared to baseline, there was no significant difference in serum testosterone levels, scores of the 36-Item Short Form Health Survey (SF-36), Aging Males' Symptoms Scale (AMS), and International Prostate Symptom Score (IPSS), and grip strength in group I after 3 months. In group II, a significant increase in testosterone, hemoglobin (Hb), and hematocrit (Hct) was observed, and grip strength significantly increased after TRT. Significant improvement in scores of SF-36, AMS, and IPSS was also confirmed after TRT in group II. There was a significant difference in testosterone, Hb, Hct, grip strength, and scores of SF-36, AMS, and IPSS between the two groups after 3 months. The patients in group II showed positive results and continued with TRT. Therefore, we conclude that TRT safely improves the QoL and TD symptoms in patients with moderate-to-severe CKD.


Sujet(s)
Qualité de vie , Insuffisance rénale chronique , Testostérone/administration et posologie , Testostérone/déficit , Sujet âgé , Sujet âgé de 80 ans ou plus , Hormonothérapie substitutive , Humains , Mâle , Adulte d'âge moyen , /statistiques et données numériques , Enquêtes et questionnaires
16.
Int Neurourol J ; 24(1): 66-76, 2020 Mar.
Article de Anglais | MEDLINE | ID: mdl-32252188

RÉSUMÉ

PURPOSE: Given the importance of evaluating the severity of overactive bladder (OAB) symptoms and outcomes after treatment, several questionnaires have been developed to evaluate OAB patients. However, only limited questionnaires are available in Korea for use with Korean patients. Therefore, this study aimed to develop Korean versions of OAB questionnaires through a rigorous linguistic validation process. METHODS: The Indevus Urgency Severity Scale, Urgency Perception Scale, Urgency Severity Scale, and Patient Perception of Intensity of Urgency Scale underwent translation and linguistic validation. The linguistic validation procedure consisted of permission for translation, forward translations, reconciliation, back-translation, cognitive debriefing, and proofreading. Two independent bilingual translators translated the original version of each questionnaire, and a panel then discussed and reconciled the 2 initial translations. Next, a third independent bilingual translator performed a backward translation of the reconciled version into English. Five Korean patients diagnosed with OAB were interviewed for cognitive debriefing. RESULTS: Each item of the questionnaires was translated into 2 Korean versions in the forward translation process. Terms such as 'urgency' and 'wetting' were translated into ordinary language by the translators and adjusted by the panel members to more conceptually equivalent terms in a medical context. In the back-translation process, the panel made a few changes regarding details based on a comparison of the back-translated and original versions. During the cognitive debriefing process, 5 patients provided a few pieces of feedback on the naturalness of the wording of the questionnaires, but generally agreed on the translated terms. CONCLUSION: In this study, the panel produced a successful linguistic validation of Korean versions of multiple OAB questionnaires, which can be utilized to evaluate the severity and treatment outcomes of OAB.

17.
Article de Anglais | MEDLINE | ID: mdl-31678310

RÉSUMÉ

Insect growth regulators (IGRs) are attractive alternatives to chemical insecticides. Since it has been reported that secondary metabolites from actinomycetes show insecticidal activities against various insect pests, actinomycetes could be a potential source of novel IGR compounds. In the present study, insect juvenile hormone antagonists (JHANs) were identified from actinomycetes and their insect growth regulatory and insecticidal activities were investigated. A total of 363 actinomycetes were screened for their insect growth regulatory and insecticidal activities against Aedes albopictus and Plutella xylostella. Among them, Streptomyces sp. AN120537 showed the highest JHAN and insecticidal activities. Five antimycins were isolated as active compounds by assay-guided fractionation and showed high JHAN activities. These antimycins also exhibited significant insecticidal activities against A. albopictus, P. xylostella, F. occidentalis, and T. urticae. Moreover, dead larvae treated with these antimycins displayed morphological deformities that are similar to those of JH-based IGR-treated insects. This is the first report demonstrating that the insecticidal activities of antimycins resulted from their possible JHAN activity. Based on our results, it is expected that novel JHAN compounds potentially derived from actinomycetes could be efficiently applied as IGR insecticides with a broad insecticidal spectrum.


Sujet(s)
Actinobacteria/métabolisme , Aedes/effets des médicaments et des substances chimiques , Insecticides/isolement et purification , Insecticides/pharmacologie , Hormones juvéniles/isolement et purification , Hormones juvéniles/pharmacologie , Lepidoptera/effets des médicaments et des substances chimiques , Tetranychidae/effets des médicaments et des substances chimiques , Animaux , Insecticides/composition chimique , Hormones juvéniles/composition chimique , Métabolisme secondaire
18.
Arch Esp Urol ; 72(10): 1018-1025, 2019 Dec.
Article de Anglais, Espagnol | MEDLINE | ID: mdl-31823850

RÉSUMÉ

OBJECTIVES: To compare the antibiotic susceptibility of Escherichia coli (E. coli) between community- acquired acute bacterial prostatitis (CA-ABP) and ABP following transrectal ultrasound-guided prostate biopsy (Bx-ABP). METHODS: A total of 4,383 patients underwent prostate biopsy from January 2005 to June 2014. Among these patients, 34 had Bx-ABP; of which 22 patients had E. coli identified in their urine or blood culture. E. coli was also identified in 91 out of 209 patients with CA-ABP in urine or blood culture. We investigated patient and microbiological characteristics. RESULTS: The Bx-ABP (59.1%) group showed a higher bacteremia prevalence than the CA-ABP group (13.2%) (p<0.001). Significant differences in the antibiotic sensitivity to E. coli between the two groups were observed for fluoroquinolone, cephalothin, and gentamicin. The antibiotic sensitivity of fluoroquinolone in the Bx-ABP group was only 27.3%. Amikacin, imipenem, meropenem, amoxicillin/clavulanic acid, and piperacillin/ tazobactam showed more than 95% antibiotic sensitivity in both groups. Bx-ABP was an independent predictive factor for bacteremia by multivariate analysis. CONCLUSIONS: E. coli in Bx-ABP showed a higher incidence of antibiotic resistance and bacteremia than those in CA-ABP. Carbapenem may be a treatment of choice for patients suspected of having sepsis. Considering the recent emergence of carbapenem-resistant bacteria, piperacillin/tazobactam or amikacin may be considered.


OBJETIVOS: Comparar la sensibilidad de Escherichia coli (E. coli) entre la prostatitis aguda bacteriana adquirida en la comunidad (PBA- AC) y la secundaria a biopsia de prostata guiada por ecografia transrectal (PBA- Bx).MÉTODOS: Un total de 4.383 pacientes fueron sometidos a biopsia de próstata entre enero 2005 y junio 2014. De estos pacientes, 34 presentaron PBA-Bx. De ellos en 22 se identificó E. coli en cultivos de orina o hemocultivos. También se identificó E. coli en orina o sangre en 91 de los 209 pacientes con PAB-AC.Investigamos las características de los pacientes y la microbiología. RESULTADOS: El grupo de pAB-Bx mostró una prevalencia mayor de bacteriemia que el de PAB-AC (59,1% frente a 13,2%) (p<0,001). Se encontraron diferencias estadísticamente significativas entre los grupos en la sensibilidad a antibióticos para fluorquinolonas, cefalotina y gentamicina. La sensibilidad a fluorquinolonas en el grupo de PBA-Bx fue sólo del 27,3%. La sensibilidad a amikacina, imipemem, meropenem, amoxicilina/ácido Clavulánico y piperacilina/tazobactam era mayor del 95% en ambos grupos. En el análisis multivariante, la PAB-BX era un factor predictivo independiente para bacteriemia. CONCLUSIONES: E. coli mostró una incidencia mayor de resistencias antibióticas y bacteriemia en las PAB-BX en comparación con las PAB-AC. En los pacientes con sospecha de sepsis, carbapenem puede ser el tratamiento de elección. Considerando la reciente aparición de bacterias resistentes a carbapenem, se pueden considerar piperacilina/tazobactam o amikacina.


Sujet(s)
Résistance bactérienne aux médicaments , Infections à Escherichia coli , Prostatite , Antibactériens , Biopsie , Escherichia coli/effets des médicaments et des substances chimiques , Infections à Escherichia coli/traitement médicamenteux , Humains , Mâle , Prostatite/traitement médicamenteux , Prostatite/microbiologie
19.
Arch. esp. urol. (Ed. impr.) ; 72(10): 1018-1025, dic. 2019. tab
Article de Espagnol | IBECS | ID: ibc-192768

RÉSUMÉ

OBJETIVOS: Comparar la sensibilidad de Escherichia coli (E. coli) entre la prostatitis aguda bacteriana adquirida en la comunidad (PBA- AC) y la secundaria a biopsia de prostata guiada por ecografia transrectal (PBA- Bx). MÉTODOS: Un total de 4.383 pacientes fueron sometidos a biopsia de próstata entre enero 2005 y junio 2014. De estos pacientes, 34 presentaron PBA-Bx. De ellos en 22 se identificó E. coli en cultivos de orina o hemocultivos. También se identificó E. coli en orina o sangre en 91 de los 209 pacientes con PAB-AC.Investigamos las características de los pacientes y la microbiología. RESULTADOS: El grupo de pAB-Bx mostró una prevalencia mayor de bacteriemia que el de PAB-AC (59,1% frente a 13,2%) (p<0,001). Se encontraron diferencias estadísticamente significativas entre los grupos en la sensibilidad a antibióticos para fluorquinolonas, cefalotina y gentamicina. La sensibilidad a fluorquinolonas en el grupo de PBA-Bx fue sólo del 27,3%. La sensibilidad a amikacina, imipemem, meropenem, amoxicilina/ácido Clavulánico y piperacilina/tazobactam era mayor del 95% en ambos grupos. En el análisis multivariante, la PAB-BX era un factor predictivo independiente para bacteriemia. CONCLUSIONES: E. coli mostró una incidencia mayor de resistencias antibióticas y bacteriemia en las PAB-BX en comparación con las PAB-AC. En los pacientes con sospecha de sepsis, carbapenem puede ser el tratamiento de elección. Considerando la reciente aparición de bacterias resistentes a carbapenem, se pueden considerar piperacilina/tazobactam o amikacina


OBJETIVOS: Comparar la sensibilidad de Escherichia coli (E. coli) entre la prostatitis aguda bacteriana adquirida en la comunidad (PBA- AC) y la secundaria a biopsia de prostata guiada por ecografía transrectal (PBA- Bx). MÉTODOS: Un total de 4.383 pacientes fueron sometidos a biopsia de próstata entre enero 2005 y junio 2014. De estos pacientes, 34 presentaron PBA-Bx. De ellos en 22 se identificó E. coli en cultivos de orina o hemocultivos. También se identificó E. coli en orina o sangre en 91 de los 209 pacientes con PAB-AC. Investigamos las características de los pacientes y la microbiología. RESULTADOS: El grupo de pAB-Bx mostró una prevalencia mayor de bacteriemia que el de PAB-AC (59,1% frente a 13,2%) (p<0,001). Se encontraron diferencias estadísticamente significativas entre los grupos en la sensibilidad a antibióticos para fluorquinolonas, cefalotina y gentamicina. La sensibilidad a fluorquinolonas en el grupo de PBA-Bx fue sólo del 27,3%. La sensibilidad a amikacina, imipemem, meropenem, amoxicilina/ácido Clavulánico y piperacilina/tazobactam era mayor del 95% en ambos grupos. En el análisis multivariante, la PAB-BX era un factor predictivo independiente para bacteriemia. CONCLUSIONES: E. coli mostró una incidencia mayor de resistencias antibióticas y bacteriemia en las PAB-BX en comparación con las PAB-AC. En los pacientes con sospecha de sepsis, carbapenem puede ser el tratamiento de elección. Considerando la reciente aparición de bacterias resistentes a carbapenem, se pueden considerar piperacilina/tazobactam o amikacina


Sujet(s)
Humains , Mâle , Résistance bactérienne aux médicaments , Infections à Escherichia coli/traitement médicamenteux , Prostatite/traitement médicamenteux , Prostatite/microbiologie , Antibactériens , Biopsie , Escherichia coli/effets des médicaments et des substances chimiques
20.
Exp Neurobiol ; 28(2): 183-215, 2019 Apr.
Article de Anglais | MEDLINE | ID: mdl-31138989

RÉSUMÉ

In the brain, a reduction in extracellular osmolality causes water-influx and swelling, which subsequently triggers Cl-- and osmolytes-efflux via volume-regulated anion channel (VRAC). Although LRRC8 family has been recently proposed as the pore-forming VRAC which is activated by low cytoplasmic ionic strength but not by swelling, the molecular identity of the pore-forming swelling-dependent VRAC (VRACswell) remains unclear. Here we identify and characterize Tweety-homologs (TTYH1, TTYH2, TTYH3) as the major VRACswell in astrocytes. Gene-silencing of all Ttyh1/2/3 eliminated hypo-osmotic-solution-induced Cl- conductance (ICl,swell) in cultured and hippocampal astrocytes. When heterologously expressed in HEK293T or CHO-K1 cells, each TTYH isoform showed a significant ICl,swell with similar aquaporin-4 dependency, pharmacological properties and glutamate permeability as ICl,swell observed in native astrocytes. Mutagenesis-based structure-activity analysis revealed that positively charged arginine residue at 165 in TTYH1 and 164 in TTYH2 is critical for the formation of the channel-pore. Our results demonstrate that TTYH family confers the bona fide VRACswell in the brain.

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