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[Effect of ionol and eleutherococcus on changes of the hypophyseo-adrenal system in rats under extreme conditions].

Total adaptational syndrome, developed in response to a number of stress situations, is of importance in formation of accommodation reactions. Long-term and severe effects of the syndrome caused morphological and functional alterations in various tissues and body systems: adrenal gland hypertrophy, involution of thymus and spleen, ulcerous impairment of gastric mucosal membrane. At the same time, lipid peroxidation was increased while accumulation of the peroxidation products was observed, which are responsible for various body impairments.

Animals↗

[A symmetry approach to electrocardiogram analysis].

A qualitative characteristics of a symmetry of correlations in ECG parameters has been studied in experiments on rats with the adaptation syndrome and hypertonic patients (I-II stages). A geometrical model of cardiac cycle shaped as a rectangular triangle with temporal and amplitude ECG parameters as catheti. A total correlation between the ECG parameters is given: QT--QRS/QT--PQ.RR--PQ/RR--QRS = R--P/R--T = 1,309. In healthy individuals, the deviation from the ideal proportion constitutes less than 5%, and in patients with cardiovascular diseases, the deviations are substantial.

Animals↗

Platelet morphology and membrane bound calcium in porcine stress syndrome.

Platelets of normal and stress susceptible pigs were subjected to electron microscopic examination and energy dispersive x-ray microanalysis in an attempt to study whether the cell membrane defect implicated in porcine stress syndrome is detectable at the platelet level. Electron microscopic studies revealed that the platelets of stress susceptible pigs are morphologically distinguishable from those of normal pigs by virtue of their highly dilated surface connected open canalicular system rendering the "Swiss cheese" appearance and the absence of the circumferential band of microtubules. A comparison of the data from spot analysis of cell membrane and the membranes of the open canalicular system using the energy dispersive microanalysis system showed that the calcium content of the plasma membrane of stress susceptible pigs is significantly lower than that of normal pigs. It would appear that the morphologic feature and the reduced levels of calcium bound to platelet membrane are related to the generalized membrane defect postulated to be the primary lesion in porcine stress syndrome and that these parameters could be included among the criteria for the detection of stress susceptible pigs.

Animals↗

[Individual reaction to stress with former concentration camp immates (author's transl)].

The individual disposition to react to different stressors to play an important role in an extreme stress situation, i.e. the incarceration in concentration camps. Ten to fourteen years after their liberation, 219 former concentration camp inmates now living in Bavaria, New York and Israel were given semi-structured interviews. Since no statistically significant correlations between psychic and somatic complaints and incarceration could be found, we computed a factor analysis on illness dimensions. We found high correlations between these and the stress induced by concentration camp incarceration. An important answer to the above mentioned questions was the fact that there was no homogeneous reaction syndrome, such as it has always been described in the literature on concentration camp syndromes. We found four patterns of delayed reaction to stress. According to the contribution of somatic and psychic complaints, the factors were named as follows: 1. psycho-physical syndrome, 2. internal disease, 3. gynaecological illness, 4. psychic (social) syndrome. Personality factors played an important role in the development of these syndromes, because they modified the degree of stress endured. Personality factors were shown to be dependent on life history. The importance of these results for mastering stressors is being discussed.

Adaptation, Psychological↗

[Changes in the lysosomal apparatus of the human formed blood elements in the adaptation syndrome based on electron microscopy data].

An electron-microscopic examination of human leucocytes and thrombocytes under an effect of noninfectious stress factor (delivery) on organism shows that lysosomes of neutrophilic leucocytes move to plasmalemma, merge with it and secrete completely or partially their content to the blood plasma. Exocytosis of lysosomes results in a decrease of their amount in neutrophils. No changes in lysosomes of other leucocytes and thrombocytes are revealed. The fact that lysosomal neutrophilic enzymes enter the blood plasma is probably due to their participation in humoral regulation of organism functions.

Blood Cells↗

[The characteristics of the development of an adaptation syndrome in severe gestosis].

Basic metabolic pathways were studied of formation of the adaptive syndrome in the organism of patients with grave gestoses: glycolysis, gluconeogenesis, and pentosephosphate pathway of production of nicotinamide coenzymes. It has been found out that a stressful character of reconstruction of metabolic homeostasis tends to change the processes of glycolysis and gluconeogenesis that had come to be formed by evolution. This warrants further study, its purpose being a specific correction of intracellular metabolism and prevention of complications. Ozonohemo- and antioxidant therapy in a complex of intensive treatment measures for patients with severe gestoses make for stimulation of pentosephosphate pathway and glycolysis.

Acute Disease↗

The stress response and the regulation of inflammatory disease.

The molecular and biochemical bases for interactions between the immune and central nervous systems are described. Immune cytokines not only activate immune function but also recruit central stress-responsive neurotransmitter systems in the modulation of the immune response and in the activation of behaviors that may be adaptive during injury or inflammation. Peripherally generated cytokines, such as interleukin-1, signal hypothalamic corticotropin-releasing hormone (CRH) neurons to activate pituitary-adrenal counter-regulation of inflammation through the potent antiinflammatory effects of glucocorticoids. Corticotropin-releasing hormone not only activates the pituitary-adrenal axis but also sets in motion a coordinated series of behavioral and physiologic responses, suggesting that the central nervous system may coordinate both behavioral and immunologic adaptation during stressful situations. The pathophysiologic perturbation of this feedback loop, through various mechanisms, results in the development of inflammatory syndromes, such as rheumatoid arthritis, and behavioral syndromes, such as depression. Thus, diseases characterized by both inflammatory and emotional disturbances may derive from common alterations in specific central nervous system pathways (for example, the CRH system). In addition, disruptions of this communication by genetic, infectious, toxic, or pharmacologic means can influence the susceptibility to disorders associated with both behavioral and inflammatory components and potentially alter their natural history. These concepts suggest that neuropharmacologic agents that stimulate hypothalamic CRH might potentially be adjunctive therapy for illnesses traditionally viewed as inflammatory or autoimmune.

General Adaptation Syndrome↗

[A glance into the mouth--dental aspects for physicians].

A glance into the mouth at the surgery occasionally confronts the general practitioner or specialist with dental aspects or issues. The nursing-bottle syndrome and injuries from accidents are frequently observed in children. In older patients, mucosal change is not a rare occurrence. A comparatively new field is halitosis and its effective and cause-related treatment.

Adolescent↗

Stressful conditions of work: the participative ergonomics approach.

The nature of working stress requires a multi-disciplinary approach for its study. Ergonomics, by its nature multidisciplinary, takes a perspective in which the individual is central and the work and working environment represent the influences to be adjusted. This perspective considers human capacities to have a permissible range of values, within which work demands must be matched. Work demands are more than the physical or mental loads directly related to task performance, since the organisational structure imposes loads. These arise, inter alia, from the relative match between the organisation within the workplace and the structure of the society outside. What people expect from work, and what they get, are also important dimensions of matching the job to the person. The observed stresses, therefore, are not always directly linked to consequences, since there are interactions in what is a multi factor situation. Various aspects of stress are discussed in the paper. Physical stresses and their long and short term impacts are, in many cases, well studied and their effects are known. Work organisation factors such as shift work and repetitive tasks are other stressors, the repetitive work situation is discussed. The whole problem of mental stress is examined more fully than the earlier, perhaps more self evident, stress aspects. Mental stress syndromes are becoming more evident, and it is clear that the interventions are not always satisfactory. In investigations of these situations the involvement of the subjects is vital, the stress effects are often only demonstrated by the subjects' reports.(ABSTRACT TRUNCATED AT 250 WORDS)

Back Pain↗

[The characteristics of a differential approach to therapy in the stress syndrome taking into account the stages of the process].

Hereby is stated the data of the necessity of the differential approach to the therapy of stress-syndrome taking into consideration the stages of the process. Pharmacological corrections of the oscillations of the antioxidation system of protection during stress is carried out in the stage of quick adaptation and its conversion into long acting, i.e. into the period, when oscillations of biochemical indexes of the antiradical system of protection are compensated. In this an important role is played by using psychotropic substances, which have a quality of the antiradical protection.

Animals↗

Causes of mortality and morbidity of wild koalas, Phascolarctos cinereus (Goldfuss), in Victoria, Australia.

Between 1975 and 1980, necropsy investigations were conducted on 44 wild koalas (24 males, 20 females) from several localities in Victoria, Australia. An additional 11 (5 males, 6 females) were presented for clinical appraisal and treatment. Traumatic injuries resulting from motor vehicle accidents and intra-specific conflict were the commonest reason for submission (19 of 55; 35%). Keratoconjunctivitis (8 of 55; 15%), ascending urinary tract infections (6 of 20 females; 30%), ascending genital tract inflammation (10 of 20 females; 50%) and sarcoptic mange (2 of 55; 4%) were recognized as specific diseases or disease syndromes. A peracute syndrome characterized by lassitude, depression, anorexia and coma was identified in moribund koalas submitted from the wild and also in hospitalized animals. The condition, termed koala stress syndrome, was thought to be initiated by intercurrent disease or trauma, long term hospitalization and frequent manipulation and treatments. Hematological observations in 54 apparently healthy wild koalas from five different populations and on 17 sick or injured animals are also presented. Certain blood parameters are discussed in relation to the health status of the populations or individuals. Areas for further research into koala diseases are also discussed.

Animals↗

Discussion: Implications of the stress syndrome to animal performance and health.

Similarities of blood metabolic and immunologic reactions that occur in cattle exposed to heat stress, other chronic stress-inducing environmental factors, and administration of pituitary, adrenal, and thyroid hormones have been described. Chronic stress can predispose cattle to both metabolic and infectious diseases. Improved characterization of endocrine, metabolic, and immunologic relationships offers promising means for studying effects of various treatment regimens on animal health, production, and reproduction.

Adrenal Glands↗

[Psychological stress in oncology: the role of glucocorticoids].

During the last years, the correlations between biological processes, psychological adjustment and stress disorders have received increasing attention and a growing body of research results has been published in the general literature. In the realm of psycho-oncology, however, conceptual models on this topic and studies aimed at their validation have remained relatively scanty. On the basis of our observations and available literature in the field of post-traumatic and depressive stress disorders in oncology, we have proposed to apply the concept of allostatic load to the study and understanding of the psychological experience of cancer. This strategy has led us to the formulation of a novel classification of adjustment disorders in oncology and the creation of the clinical entity named "cancer-specific stress syndrome". Depending on clinical presentation of the syndrome, one distinguishes three subtypes, namely the depressive, post-traumatic and "dysallostatic" (mixed) forms. In the present paper, we examine the role of glucocorticoids and their relationships with one of the basic components of allostatic load--a failure to counter-regulate the immune system by the hypothalamic-pituitary-adrenal axis--in the physiopathology of stress disorders in oncology. Conflicting theories are presented--glucocorticoid cascade versus insufficient glucocorticoid signal transmission--and studies measuring potential correlations between stress and cortisol in oncology are critically reviewed. The results of this process provide substantial support for the application of the allostatic load model and post-traumatic phenomenology, but important advances have yet to be achieved before definitive conclusions can be established in this field. Such advances could lead to profound changes in the way we understand and treat psychological distress in patients with cancer, both pharmacologically and psychotherapeutically.

Adaptation, Psychological↗

[Energy metabolism during stressful exposures (ionizing radiation), its self-regulation and correction].

Normal hormonal regulation of energy metabolism is mainly realized by glucocorticoids and insulin, their physiological antagonist. Under the effect of different extremal factors (including ionizing radiation) there arises non-specific stress, a syndrome the main component of which is the hyperfunction of glucocorticoids--the intermediate hormonal link in the stress reaction. Stimulation of hypercorticism by administering hydrocortisone to intact animals as well as its stimulation by administering this preparation to irradiated animals causes development and intensification of inhibition and uncoupling of the oxidative phosphorylation as well as disturbance in adenylic nucleotides metabolism. The administered insulin, softening the reaction of hypercorticism and changing the ratio of the hormone levels in favour of insulin, weakens essentially the stress (ray) disturbances in the energy metabolism.

Adrenal Cortex↗

[Pathophysiology of post-aggression metabolism].

The metabolic situation of the socalled "post aggression syndrome" related to operations or trauma is elucidated in terms of two out of three phases described by a working hypothesis. It is governed primarily by anti insulin factors and can be identified by the resulting catabolism. The leading phenomena are increased of general turnover rates, glycogenolysis, gluconeogenesis, lipolysis, and protein degradation. An "ergotropic situation" results, obviously being an important basis of survival. On the other hand, changes in the protein metabolism do not exclusively concern proteolysis, but also a flow of substrates from the periphery to visceral organs and wound healing tissue. In these tissues important synthetic processes are still prevailing, despite the general catabolic state. These efforts of the organism to survive ought to be supported synergistically rather than antagonised by therapeutic means. Therefore it seems important that care is taken primarily to select an appropriate nutritional regime for parenteral or if feasible enteral administration before taking into account pharmacological measures with regard to the metabolic disturbances.

Energy Metabolism↗

The central adaptation syndrome: psychosocial stress as a trigger for adaptive modifications of brain structure and brain function.

This review makes an attempt to combine data from biological and psychosocial stress literature and to suggest an alternative interpretation of the relationship between stress and disease. It rearranges the presently available knowledge on the short- and long-term effects of stress on many different aspects of brain structure and brain function in the form of a new conceptualization of the biological role of the stress response. The higher associative brain structures are not only the sites in which environmental and psychosocial demands are recognized and from which a less or more systemic, i.e. controllable or uncontrollable, stress response is initiated. They are also the sites which are primarily affected in the course of the stress response: the stress response acts as a trigger for the adaptive modification of the structure and the function of the brain of higher vertebrates and serves thus to adjust, in a self-optimizing manner, the behavior of an individual to the ever-changing requirements of its external world. This novel concept summarizes a large amount of information into a framework that lends itself to testable strategies for future research.

Adaptation, Physiological↗

Brain norepinephrine changes with simulated weightlessness and relation to exercise training.

Maintenance of nervous system function during periods of a deconditioning syndrome is important to prevent diminished psychological/behavioral, and physiological function observed during periods of bed rest, physical inactivity, and weightlessness. A main neurotransmitter is norepinephrine (NE), and its regulation yields insight into nervous system function. This research tested the hypotheses that, 1) deconditioning syndrome induced by simulated weightlessness of 9 days via the head-down tilt (HDT) model results in a blunted noradrenergic turnover rate in selected brain tissue and, 2) that exercise training acts as a countermeasure for these changes in noradrenergic activity. Male Sprague-Dawley rats (3 months, n = 60) were divided into either a HDT (HDT, n = 20), cage control (CAGE-CN, n = 20) or an exercise trained HDT (HDT-EX, n = 20) group. Each group was further subdivided into a saline (n = 10) or alpha-methyl-tyrosine (AM, n = 10) (200 mg/kg) injected subgroup. Animals in the HDT groups were tail suspended in a 30 degrees head-down tilt position for 9 days. Norepinephrine turnover was determined 3 h following administration of saline or alpha-methyl-para-tyrosine. The NE turnover rate (ng gm(-1) x h(-1)) for the CN, HDT, and HDT-EX groups, respectively, were as follows: locus coeruleus, 63 +/- 33, *134 +/- 65, 85 +/- 61; hypothalamus, 195 +/- 50, *47 +/- 47; *93 +/- 34; cerebellum, 10 +/- 18, *65 +/- 15, *53 +/- 19; cerebral cortex, 6 +/- 20, *28 +/- 15, *68 +/- 22. (*Denotes significant difference from the control group at the p < or = 0.05 level of significance; +denotes significant difference from the HDT group at the p < or = 0.05 level of significance.) These findings suggest that: 1) norepinephrine turnover rate adapts in a tissue-specific manner following a 9-day tail suspension, 2) increased norepinephrine turnover rates and norepinephrine tissue content in the HDT group are consistent with neural adaptation to a chronic stress response.

Analysis of Variance↗

The deprivation syndrome is the driving force of phylogeny, ontogeny and oncogeny.

Energy is the motor of life. Energy ensures the organism's survival and competitive advantage for reproductive success. For almost 3 billion years, unicellular organisms were the only life form on earth. Competition for limited energy resources and raw materials exerted an incessant selective pressure on organisms. In the adverse environment and due to their 'feast and famine' life style, hardiness to a variety of stressors, particularly to nutrient deprivation, was the selection principle. Both resistance and mutagenic adaptation to stressors were established as survival strategies by means of context-specific processes creating stability or variability of DNA sequence. The conservation of transduction pathways and functional homology of effector molecules clearly bear witness that the principles of life established during prokaryotic and eukaryotic unicellular evolution, although later diversified, have been unshakably cast to persist during metazoan phylogenesis. A wealth of evidence suggests that unicellular organisms evolved the phenomena of differentiation and apoptosis, sexual reproduction, and even aging, as responses to environmental challenges. These evolutionary accomplishments were elaborated from the dichotomous resistance/mutagenesis response and sophisticated the capacity of cells to tune their genetic information to changing environmental conditions. Notably, the social deprivation responses, differentiation and apoptosis, evolved as intercellularly coordinated events: a multitude of differentiation processes were elaborated from sporulation, the prototypic stress resistance response, while apoptosis, contrary to current concepts, is no altruistic cell suicide but was programmed as a mutagenic survival response; this response, however, is socially thwarted leading into mutagenic error catastrophe. In the hybrid differentiation-apoptosis process, cytocide and cannibalism of apoptotic cells thus serve the purpose of fueling the survival of the selfish genes in the differentiating cells. However, successful mutagenesis, although repressed, persisted in the asocial stress response of carcinogenesis as a regression to primitive unicellular behavior following failure of intercellular communication. While somatic mutagenesis was largely prevented, Metazoa elaborated germ cell mutagenesis as an evolutionary vehicle. Genetic competence, a primitive, stress-induced mating behavior, evolved into sexual reproduction which harnessed mutagenesis by subjecting highly mutable germ cells to a rigid viability selection. These processes were programmatically fixed as life- and cell-cycle events but retained their deprivation response phenotypes. Thus, the differentiation-apoptosis tandem evolved as the 'clay' to mold the specialized structures and functions of a multicellular organism while sexual reproduction elaborated the principle of quality-checked mutagenesis to create the immense diversity of Metazoa following the Cambrian explosion. Throughout these events, reactive oxygen and nitrogen species, which are regulated by energy homeostasis, shape the genetic information in a regulated but random, uncoded process providing the fitness-related feedback of phenotype to genotype. The interplay of genes and environment establishes a dynamic stimulus-response feedback cycle which, in animate nature, may be the organizing principle to contrive the reciprocal duality of energy and matter.

Aging↗