Akt, heat shock protein (HSP72)72, and HSP90 induced by ischemic preconditioning protect cells from the ischemic injury. The purpose of this study was to examine the alterations of the level of phospho-Akt, HSP72, and HSP90 in the rat tibialis anterior and soleus muscles after cyclic episodes of ischemic preconditioning. Sprague-Dawley rats aged 35 weeks were divided into control and ischemic preconditioning (IP) groups. The IP group was divided into 3 subgroups based on cycles of IP. Left common iliac artery was occluded 3, 6, and 10 times for 5 minutes, followed by 5 minutes reperfusion. The experimental animals were sacrificed at 0, 3, 6, 24, and 72 hours after reperfusion, and left tibialis anterior and soleus muscles were removed. The expression of phospho-Akt, HSP72, and HSP90 were examined with immunohistochemical methods and Western blot analysis. The results were as follows; 1. In the 3 and 6 times of IP groups, the expression of phospho-Akt (p-Akt) was increased at 0 and 3 hours after reperfusion, compared with control group. The expression of p-Akt in the 10 times of IP group was lower than that in 3 and 6 times of IP groups. At 72 hours after reperfusion, the expression of p-Akt showed no difference among the IP groups. The expression of p-Akt was higher in Soleus than that in Tibialis anterior. 2. The expression of HSP72 in 3 times of IP group increased at 0 and 3 hours after reperfusion, compared with 6 and 10 times of IP groups. The expression of HSP72 in the 10 times of IP group was lower than that in 3 and 6 times of IP groups. At 72 hours after reperfusion, the expression of HSP72 showed no difference among the IP groups. The expression of HSP72 was higher in Soleus than that in Tibialis anterior. 3. In the 3 and 6 times of IP groups, the expression of HSP90 increased at 0 and 3 hours after reperfusion, compared with control group. The expression of HSP90 in the 10 times of IP group was lower than that in 3 and 6 times of IP groups. At 24 hours after reperfusion, the expression of HSP90 showed no difference with increasing episode of IP. The expression level of HSP90 was higher in Soleus than that in Tibialis anterior. These findings suggest that ischemic preconditioning increases the expression of p-Akt, HSP72 and HSP90 at early phase after reperfusion in the rat tibialis anterior and soleus muscles. However, increased cycles of ischemic preconditioning may not induce the expression of them.
Animals ; Blotting, Western ; Heat-Shock Proteins ; Iliac Artery ; Ischemic Preconditioning* ; Muscles* ; Phosphorylation* ; Rats* ; Rats, Sprague-Dawley ; Reperfusion

In skeletal muscles, oxygen free radicals generated during ischemia -reperfusion are known as inducers that cause cellular injury and apoptosis and contribute to the pathogenensis of reperfusion injury. Ischemia -reperfusion for 2 hours may cause reversible changes, while prolonged ischemia -reperfusion causes irreversible changes. Following ischemia -reperfusion, diverse signals are transduced to induce a variety of gene expression. Ischemic preconditioning, defined as brief episodes of ischemia and reperfusion, is known to provide protection from the consequences of prolonged ischemia followed by reperfusion. NF -kappa B is a transcription factor that activated during ischemic preconditioning and ischemia -reperfusion. It initiates inflammation through inducing transcription of proinflammatory, procoagulant and vasoactive gene, while mediates the expression of cytoprotective proteins that block apoptosis or inhibit inflammation. The present study was performed to study the change of NF -kappa B immunoreacitvity in rat anterior tibialis and soleus muscles in response to ischemia -reperfusion and preconditioning. Experimental animals, Sprague -Dawley rats (250 ~300 g), were divided into 6 groups; 1) control, 2) ischemic preconditioning, 3) 2 hours of ischemia, 4) 4 hours of ischemia, 5) 2 hours of ischemia after ischemic preconditioning, 6) 4 hours ischemia after ischemic preconditioning. For ischemic preconditioning, left common iliac artery was occluded three times for 5 minutes followed by 5 minutes of reperfusion using vascular clamp. Ischemia was done by occlusion of the same artery for 2 or 4 hours. The specimens of tibialis anterior and soleus muscles were obtained 0, 1, 3, 6, and 24 hours after onset of reperfusion. The specimens were paraffin sectioned at 6 micrometer and NF -kappa B expression was examined using immunohistochemical methods. The results obtained were as follows : 1. In normal control group, immunoreactivity of NF -kappa B was moderate to strong in tibialis anterior muscles and weak in soleus muscles. 2. In tibialis anterior, immunoreactivity of NF -kappa B was decreased in 2 and 4 hours of ischemia comparede with normal control group. In soleus muscle, immunoreactivity of NF -kappa B was decreased in 2 hours of ischemia but it was comparable to that of normal control group in 4 hours of ischemia. 3. Ischemia for 4 hours induced more remarkable change in NF -kappa B immunoreactivity than that for 2 hours. 4. After ischemic preconditioning, changes in NF -kappa B immunoreactivity after 2 and 4 hours of ischemia were decreased compared with normal control group. 5. In ischemia for 2 and 4 hours, changes in NF -kappa B immunoreactivity of tibialis anterior muscles were more severe than that of soleus muscles. These results suggest that in the skeletal muscle, changes in NF -kappa B immunoreactivity of 4 hours of ischemia were more remarkable than that of 2 hours ischemia, and changes in NF -kappa B of tibialis anterior muscles were more remarkable than that of soleus muscles. Ischemic preconditiong attenuated the alteration of the NF -kappa B immunoreactivity induced by ischemia -reperfusion in the muscles.
Animals ; Apoptosis ; Arteries ; Free Radicals ; Gene Expression ; Iliac Artery ; Inflammation ; Ischemia ; Ischemic Preconditioning ; Muscle, Skeletal ; Muscles* ; Oxygen ; Paraffin ; Rats* ; Reperfusion ; Reperfusion Injury ; Transcription Factors

OBJECTIVES: The purpose of this study was to investigate effects of structural and functional characteristics of social network on social adjustment in people with mental illness. METHODS: 236 members of the people with mental illness who were enrolled in day hospital, community mental health center and social rehabilitation center participated in the survey. RESULTS: Of structural and functional characteristics of social network, the influenced factors on social adjustment were network size of professional, social support (family, friend and professional) and conflict with professional. When controlling socio-demographic and disorder characteristics, this regression model affected significantly on social adjustment but the power of influence reduced slightly. CONCLUSION: In order to improve the social adjustment of people with mental illness, it is necessary for social network to provide them with more emotional and social resources. Especially, it is important for mental health professionals to build active partnership with the people with mental illness as consumer. For people with mental illness, the economic stability through guaranteed income such as disability benefits, and occupational rehabilitation is very important.
Friends ; Hospitals, Community ; Humans ; Mental Health ; Rehabilitation Centers ; Social Adjustment

No abstract available.
Aneurysm ; Aortic Aneurysm ; Myocarditis ; Sinus of Valsalva

No abstract available.
Hyperparathyroidism*

No abstract available.
Brachial Plexus* ; Golf*

OBJECTIVE: To evaluate the clinical course of the patient who had the gynecologic operation using minolaparotomy. METHODS: We reviewed the chart of the patient who had the gynecologic operation using minilaparotomy in department of obstetrics and gynecology of St. Mary's hospital during Jan. 2000 Sept. 2002. RESULTS: Postopertive diagnosis is myoma (154 cases), adenomyosis (41 cases), ovary cyst (89 cases) and so on. We had performed hysterectomy (225 cases), myomectomy (86 cases), cystectomy or adenexectomy (85 cases) for these patient. There is no significant difference in clinical course between two total hysterecomized groups, one who had the operation history and the other who had not the operation history. CONCLUSION: In gynecological operations, minilaparotomy is the useful methods in any kind of the indication of operation, and show good clinical course.
Adenomyosis ; Cystectomy ; Diagnosis ; Female ; Gynecology ; Humans ; Hysterectomy ; Laparotomy* ; Myoma ; Obstetrics ; Ovary