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Biomedical subjects

M Sypniewski

Publications and source records attributed to M Sypniewski.

11 recordsLinked to original sources

(R)-tert-Butoxycarbonylamino-fluorenylmethoxycarbonyl-glycine from (S)-benzyloxycarbonyl-serine or from papain resolution of the corresponding amide or methyl ester.

The enantiospecific synthesis of (R)-Boc-(Fmoc)-aminoglycine 7 was achieved. (S)-Cbz-serine 1 was reacted with diphenylphosphoryl azide in the presence of triethylamine to yield cyclic (S) carbamate 2. The ring nitrogen of 2 was protected with a Boc group (3). The cyclic carbamate of 3 was hydrolyzed with benzyltrimethylammonium hydroxide to yield the (R)-enantiomer of alcohol 4. The oxidation of 4 with pyridinium dichromate yielded the enantiomerically pure (97% ee) (R)-Boc-(Cbz)-aminoglycine 5, which was converted to 7 with retention of optical purity. Similarly, starting from (S)-Boc-serine 9, cyclic (S) carbamate 10 was obtained. The ring nitrogen of 10 was protected with a Cbz group (11) with retention of configuration. The cyclic carbamate of 11 was base hydrolyzed to yield 12, the (S)-enantiomer alcohol. Independently, Boc-(Fmoc)-aminoglycine amide 13 and Boc-(Fmoc)-aminoglycine methyl ester 14 were resolved using papain. The stereochemistry of the isolated acid was determined to be (R) by coelution on HPLC of its derivative with Marfey's reagent and that of an authentic sample (7) obtained by enantiospecific synthesis.

Amides↗

[Application of the Ottawa ankle rules in the ankle and midfoot injuries: verification of the method on the basis of own material].

The aim of study was to verify the specificity and usefulness of the Ottawa Ankle Rules in trauma patients. Prospective observations were made on 103 adult patients (48 males and 55 females aged 16 to 74 years). Clinical examination was subsequently verified by radiography. According to Ottawa Rules pain in the posterior aspect of distal 6 cm of tibia or fibula or pain at fifth metatarsal or navicular bone occurring immediately after injury suggests bone fracture. In 78 cases (75%) no fracture was seen on X-ray; ankle sprain and midfoot sprain was diagnosed in 49 (63%) and 19 (37%) patients respectively. Fractures have been found in 26 patients (25%); 19 in the ankle area and 7 within tuberosity of the fifth metatarsal. Diagnosis set according to Ottawa Ankle Rules was confirmed radiologically in 89 patients (86%). Clinically diagnosed fracture was ruled out radiologically in 14 cases (13%) and only once (1%) radiogram revealed fracture missed clinically. In our material specificity of the method was 86% and the risk of misdiagnosed fracture was less than 1 percent.

Adolescent↗