Rescue endoscopic band ligation of iatrogenic gastric perforations following failed endoclip closure

Iatrogenic gastric perforation is one of the most serious complications during therapeutic endoscopy,despite significant advances in endoscopic techniques and devices.This case study evaluated the clinical efficacy and safety of the rescue endoscopic band ligation (EBL) technique in iatrogenic gastric wall perforation following the failure of primary endoclip closure.Five patients were enrolled in this study.These patients underwent emergency endoscopy following the onset of acute gastric wall perforation during endoscopic procedures.The outcome measurements were primary technical success and immediate or delayed procedure-related complications.Successful endoscopic closure using band ligation was reported in all patients,with no complication occurring.We conclude that EBL may be a feasible and safe alternate technique for the management of acute gastric perforation,especially in cases where closure is difficult with endoclips.

Changes and development plans in the mountain villages of South Korea:Comparison of the first and second national surveys

Owing to the geographic disadvantages of mountain villages, the social, cultural, and economic conditions of mountain villagers are inferior to those of urban dwellers in South Korea. Thus, in 1995, the The government of South Korea launched a mountain village development support program to promote agriculture and forestry, balance national land development, and preserve cultural heritage. The program was effectively implemented, improving the income, population size, and living conditions of villagers in addition to setting up a system for stable project implementation. However, concerns were raised about long-term development planning, the creation and marketing of specialty brands, facility management/operation, and follow-up support. The government conducted surveys of mountain villagers in 2003 and 2014, obtaining basic data to address these issues. This study evaluates the outcomes of these two surveys, suggesting areas requiring focusedaction, concentrating on village development projects, forest resource distribution and use, demographic trends, the economy, exchange with urban areas, green tourism, and master planning. We find that despite growth in the forest labor force, forest ownership is diminishing in terms of the number and scale of holdings. Consequently, it is necessary to commercialize forest resources, establish favorable settlement conditions, and expand government support for village-run projects. In addition, systematic forest management for older tree age classes would benefit the public and provide assets for future mountain village development. Our results are expected to provide baseline information for the establishment and efficient implementation of mountain village development policy.

HSF1-mediated oxidative stress response to menadione in <i>Saccharomyces cerevisiae</i>KNU5377Y3 by using proteomic approach

The hat shock transcription factor HSF1 inthe yeast Saccharomyces cerevisiae regulates a wide range of genes and functions in diverse cellular reactions. To investigate the physiological response of HSF1 inthe presence of menadione (MD) in S. cerevisiae KNU 5377Y3, wild-type (k3wt) and isogenic hsf1 mutant (k3h1) cells were introduced. HSF1 was induced when k3wt cells were exposed to the superoxide-generating agent MD and k3h1 cells were hypersensitive to MD. Under MD stress, k3h1 cells down-regulated the expression of metabolic enzymes (Hxk, Fba1, Pgk1, Eno2, and Adh1), antioxidant enzymes (Trx2 and porin), and molecular chaperones and their cofactors (Hsp104, Ssb1, Hsp60, Hsp42, Hsp26, Hsp12, Cpr1, and Sti1). In addition, k3h1 cells increased cellular hydroperoxide levels and protein carbonylation under MD stress as compared to k3wt cells. However, there was a moderate difference in the wild-type (b3wt) and mutant (b3h1) cells derived from S. cerevisiae S288Cunder the same conditions. Thus, these results show that HSF1 is an important component of the stress response system, acting as an activator of cell rescue genes in S. cerevisiae KNU5377Y3, and its expression protects the cells from MD-induced oxidative damage by maintaining redox homeostasis and proteostasis in the presence of MD.