The present paper focuses on the leaking enzyme, PGAM (phosphoglycerate mutase), which is attracting increasing interest among medical researchers, and its relations with physical exercise. As a preliminary, purified PGAM-B was extracted from erythrocyte. First of all, erythrocytes were burst by hypotonic buffer. The contents were let through DEAE-Sepharose column and then through an affinity column bound with PGAM antibody. The purified substance thus obtained is analyzed by SDS-PAGE and has been found only in the single band of approximately 30 kDa. It has been injected to a mouse to develop its antibody. The mouse antibody thus developed and commercial anti r-h-PGAM-B rabbit antibody have been used to in order to perform double antibody sandwich ELISA on PGAM-B. R-h-PGAM-B was used as a standard substance. It has been observed that our standard curve shows a linearity in the range of 0-100ng/100μl, with R²=0.9849. The correla-tion between intensity of physical training and PGAM-B concentration in serum has been analyzed. Non-athlete male students, long distance male and female runners took part in the experiment. The sera of the male runners were found to have 34 times higher PGAM-B concentration than those of the non-athletes. The male runners had 3.6 times higher concentration than those of female runners. Non-athletes ran 10 km and their serum PGAM-B concentration were measured afterwards. It was found that concentration was 3.2 times higher after the run than before it, and this increasing found in all subjects.

A study was conducted to investigate the relationship between energy systems and running performance, especially during the last spurt in an 800-m race. The subjects were separated into good 800-m runners (group A n=5: best record, 1′54″3±1.4) and a second group of slower 800-m runners (group B n=4: best record, 2′02″1±1.3) . Each group executed two types of running test (600m test and 800m test) . To simulate an 800-m race, the running speed up to 600m was set by means of a lamp pace maker system. The last spurt was running 200m at maximal voluntary running speed. Plasma lactate, plasma ammonia, serum glucose and blood pH were assayed at rest, after warming up, and 6 and 10min after the running test.
The following results were obtained:
1) The last spurt time of group A was significantly faster than that of group B (p<0.01) . 2) In group A, plasma lactate and plasma ammonia concentrations increased significantly during the last spurt (p<0.05) . In group B, however, plasma lactate and plasma ammonia concentrations before the last spurt (600m test values) were very close to the values after the last spurt (800m test values), 3) Last spurt times were significantly related to changes in plasma lactate concentration (r=-0.870, p<0.01) and O² debt (r=-0.799, p<0.01) during the last spurt.
These results suggest that running performance during the last spurt in an 800-m race depends on anaerobic energy ability, as reflected by plasma lactate, plasma ammonia and O² debt before the last spurt.

Generally, sport players of boxing or football who contact roughly with other players use mouth guard during match or game to prevent the breaking of jow boneor bursting of soft oral cavity. Moreover, mouth-guard are used for the purpose to lighter the load to root of teeth and to improve the skill and power of sport's player.
The purpose of this study was to examine the charactaristic of unfitted by H shape-mouth guard compared to U shape mouth guard.
The following results were obtained.
1. The H shape-mouth guard of this study could reduce the impact to 1/7 level.
2. A relative decrease in ventilation level was shown when H shape mouth guard fitted.
3. With reference to respiratory function, reduction of the amount of oxygen up-take was not observed at heart rate lower than 170 beats/min, and in this case a player feells subjective symptom of stiffing.

We have developed a mouth guard which has revolutionized the shape and material of the conventional mouth piece. The H shape mouth guard has the unique shape like that of an H. Even with the new shape of the mouth piece it does not hinder the performance of the wearer. The following are the fundamental data collected by our group. In this study we examined its influences on leg power, the carry (the distance a golf ball is hit) and the motion of the club head during a tee off.
The results are as follows:
1) By wearing or setting the mouth guard, the variation of leg power, measured with a Sybex II, showed an increase at selected angular verocity. The rate of increase averaged aproximately 15%.
2) The amount of work in anaerodush, an intensive, but short exercise, increased significantly by 1.25 seconds.
3) As for golf, all four of the test subjects joint performance increased their carries by 5.2 to 11.6 yards, using a 1st wood.
4) Also the fluctuation of the head of the club decreased from 7.3 cm to 3.6 cm on average.
Our group have found that the new H shaped mouth guard can absorb shock as well as not hinder the performance of the individual who is wearing it. Thus, the H shape mouth guard can be worn during sports to enhance the participant's performance.

A study was conducted to investigate the changes in human urinary proteins caused by physical exercise. Nine subjects (male middle-distance runners, 19-21 years) were loaded physical exercise with a 10km-run, and quantitative and qualitative changes in urinary proteins were examined using various techniques including polyacrylamide gel electrophoresis, immunoelectrophoresis and two-dimensional electrophoresis. Total protein concentrations in urine from all subjects before exercise were very low (0.68-2.56mg/dl), but those were increased remarkably after exercise. Few proteins except for albumin were detected in urine before run by polyacrylamide gel electrophoresis and immunoelectrophoresis, however, a few proteins were observed after exercise in addition to a marked increase of albumin. Several proteins which were not observed in serum could also be detected in urine after exercise by two-dimensional electrophoresis under non-denaturing condition. It is considered that two-dimensional electrophoresis is a very powerful technique for analyzing dilute and complicated protein mixture in biological fluids such as urine.

Although sequential bypass with in situ arterial conduits (the left and right internal thoracic arteries; LITA and RITA, the right gastroepiploic artery; GEA) in coronary artery bypass grafting (CABG) is technically demanding, it is one of the most important procedures using a limited number of in situ arterial conduits to revascularize a wide area. In this report, we retrospectively investigated the clinical outcome of CABG with 4 or more distal anastomoses using only in situ arterial conduits. From December 1990 to May 1999, 62 patients underwent CABG with in situ arterial conduits, with at least one sequential bypass. There were 59 men and 3 women patients with mean age of 59.6 years (41 to 82 years). Mean postoperative follow-up period was 32 months (1 to 101 months). The total number of distal anastomoses was 4 (1 sequential bypass) in 54 patients, 4 (2 sequential bypasses) in 6 patients, 5 (1 sequential bypass) in 1 patient and 6 (3 sequential bypasses) in 1 patient. There were 5 emergency operations (8%), 37 patients (60%) had a history of myocardial infarction, 30 patients (48%) had diabetes mellitus and 6 patients (10%) had chronic renal failure and were on hemodialysis. Left ventricular ejection fraction was 40% or less in 15 patients (24%). There were no early deaths. Angiographic patency was satisfactory for each graft (sequential: individual, LITA 96.7%: 100%, RITA 100%: 100%, GEA 89.5%: 97.4%). Patency of a distal anastomoses of GEA was rather poorer than that of proximal (p=0.03). Three patients died during the follow-up period (all of them due to malignancy). The 5-year actuarial survival and cardiac event-free rate was 94.6% and 87.2%, respectively. In conclusion, although an indication of GEA sequential grafting needs further study, in situ arterial grafting with at least one sequential arterial conduit was associated with excellent results and achieved more complete revascularization with exclusive use of in situ arterial conduits in patients with diffuse coronary artery disease.

A 50-year-old man was referred to our hospital with a tumor in the left ventricle. He had suffered from rheumatic fever when 14 years old. He had shown signs of chronic heart failure due to atrial fibrillation and rheumatic valves (ASr, MSr) for 10 years. There was a history of unaccountable fever and rash, so infective endocarditis was suspected and echocardiography was performed. It showed a homogeneous mass with a diameter of approximately 10mm, fixed directly to the left ventricular septum 20mm below the aortic valvular ring. At operation, the tumor was excised together with endocardium and a part of the muscular coat. The rheumatic aortic and mitral valves were replaced with a 21mm SJM AHP and a 27mm SJM MTK mitral valve, respectively. Tricuspid annuloplasty (TAP) (De Vega 29mm) was also performed. Histopathological examination of the tumor revealed benign papillary fibroelastoma. It suggested that the tumors were secondary to mechanical wear and tear, and represent a degenerative process due to rheumatic valve disease.