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Nature of cysteine-based Re(V)=O(N2S2) radiopharmaceuticals at physiological pH ascertained by investigation of a new complex with a meso N2S2 ligand having carboxyl groups anti to the oxo group.

X-ray structural characterization of a new isomer of ReO(TMECH3) revealed that it is anti-ReO(DL-TMECH3) (1). (DL-TMECH6 is meso-tetramethyl-ethylene-dicysteine prepared from racemic penicillamine (penH4), the subscript on H indicating the number of dissociable protons; anti denotes the geometric isomer having both carboxyl groups anti to the oxo ligand.) In 1, one carboxyl is deprotonated and coordinated trans to the oxo ligand, and the other is protonated and dangling. The 1H NMR spectrum (assigned by 2D methods) of 1 at pH 4 in aqueous solution revealed that the structure of 1 is the same as in the solid state except for deprotonation of the dangling carboxyl group, affording the monoanion. All chelate ring protons and methyl groups are inequivalent and give sharp signals. As the pH was raised above 7, the 1D 1H NMR signals of the monoanion broadened. Broadening was severe for the methyl and ethylene signals of the tridentate half of the monoanion, and these signals were replaced by new signals for the dianion. The changes suggested a rate process that was intermediate on the NMR time scale, such as CO2- ligation/deligation. With increasing pH the dianion signals sharpened up to pH approximately 8 and then broadened up to pH approximately 10. Finally, the spectrum at pH 10.8 showed only half the number of signals. Each signal was at the midpoint shift between two corresponding signals observed at lower pH, indicating a time averaging between the halves of the DL-TMEC ligand, but no change in protonation state. Two Re=O stretching bands (923 and 933 cm-1) with a constant intensity ratio of approximately 1 were observed for the dianion. These results can be explained if the dianion exists detectably only as a NH-deprotonated/carboxyl-deligated form having two conformers. The conformers differ in the N lone pair (NLp) orientation (either endo or exo with respect to the oxo ligand) and thus have slightly different Re=O stretching frequencies. Although they can be detected by resonance Raman spectroscopy, the conformers are indistinguishable by NMR spectroscopy because NLp inversion (and hence conformer interconversion) is very fast. Interchange of the NH and NLp sites affects the NMR spectra. At pH 8.3 the signals of the dianion are sharpest because interchange is slowest. Below and above pH 8.3, the signals are broader because acid and base catalysis, respectively, increase the rate of interchange between the NH and NLp sites.

Crystallography, X-Ray↗

Bidentate Lewis base adducts of methyltrioxorhenium(VII) and their application in catalytic epoxidation.

Methyltrioxorhenium(VII) (MTO) forms octahedral adducts with bidentate Lewis bases. These complexes were isolated and fully characterized, including X-ray crystallography. The compounds display distorted octahedral geometry in the solid state with a tendency of disorder concerning the Re central atom. At elevated temperatures, they undergo rapid ligand-exchange reactions in solution. The ease of this ligand exchange depends mainly on the Lewis basicity of the ligand. The more Lewis basic the ligand is, the stronger the metal-ligand interaction is, as can be shown by NMR spectroscopy. All examined complexes are temperature stable but quite sensitive to light and moisture. In the presence of H(2)O(2), the complexes form very active and highly selective epoxidation catalysts. Peroxo complexes are generated, and at least one of the Re-N interactions is cleaved during this process. Total ligand dissociation only occurs in the case of very weakly coordinating bidentate ligands. The peroxo complexes of the MTO Lewis base adducts are, in general, more sensitive to water than MTO itself.

Journal Article↗

[Functional examination findings after parietal pleurectomy in patients with recurrent of spontaneous pneumothorax (author's transl)].

Eight patients with recurrent of spontaneous pneumothorax were re-examined sixteen months or more after a total parietal pleurectomy had been carried out. This re-examination included: 1. Detailed case history with emphasis on physical performance; 2. clinical findings; 3. Thorax x-ray at two planes; 4. Lungscintigraphy; 5. Spirometry. Following parietal pleurectomy, none of the patients exhibited any functional disturbance worthy of mention. This operative technique, perhaps modified as a partial parietal pleurectomy, can be recommended at this time as the method of choice for treating recurrent spontaneous pneumothorax.

Adult↗

Sequelae of covert bacteriuria in schoolgirls. A four-year follow-up study.

A trial involving 208 girls aged 5-12 who had bacteriuria on screening was carried out to determine the effects of covert bacteriuria on renal growth and scarring. 98 were observed for 4 years without treatment and 110 were treated. 77% of the treated girls, but only 26% of the untreated controls, were free of infection for at least half of the 4-year follow-up. However, treatment had no effect on the emergence of symptoms, clearance of vesico-ureteric reflux (V.U.R.), kidney growth, or the progression of kidney scars. New kidney scars did not develop in previously unscarred kidneys. 12 (6%) of the 208 girls had progression of re-existing kidney scars; this high-risk group was characterised by kidney scarring on the initial X-ray, a high prevalence of v.u.r., and persistent or recurrent bacteriuria. Screening for covert bacteriuria cannot therefore be recommended in schoolgirls since kidney damage associated with infection arises before the age of 5.

Anthropometry↗

[Effect of acetylsalicylic acid on immunologically induced morphologic changes after experimental lung transplantation (light and electron microscopic study)].

In 3 comparing series the behavior of platelets after experimental lung transplantation was examined in 33 dogs. After allogenic transplantations (21 animals) the ultrastructural findings were pathologic changes of the platelets, such as hyperaggregability with irreversible aggregation prevailing, as well as capillary wall alterations. X-rays showed considerable reduction of functioning parenchyma. Since these findings were absent in animals which underwent merely pulmonary re-implantation (4 animals) and can be considered a controll group, the authors conclude that these alterations are caused by mainly immunologic reactions. Acetylsalicylic acid given to animals with grafted lungs significantly inhibited is specific and certainly immuneinduced pathologic development. Absolutely necessary, therefore, appears the application of such aggregation inhibitor as additional treatment in lung transplantations.

Animals↗

The aortic width as an index of hypertension--how specific?

Primary aortic diseases are believed to be rare in our environment, the result of which is to attribute increase in aortic width to hypertension. This premise has advised certain widely held views in the past, one of which is that heart muscle diseases (dilated cardiomyopathy) is hypertensive heart disease in disguise. New trends in knowledge have led to a shift in ground. Dilated cardiomyopathy is now thought to be an end-stage situation with many factors operating. This has prompted this re-look at the main factor that advised the earlier stand, namely the aortic width on chest X-ray. 48 patients in hypertensive heart failure and 50 in heart failure from dilated cardiomyopathy were studied. Aortic root dimensions were measured on chest X-ray and echocardiography. The results point to the fact that in our adult population, aortic dimension is a poor specific index of hypertension, as there was no statistically significant difference between the groups.

Aorta↗

[Relationship between pterygium onset and ultraviolet rays exposure time].

OBJECTIVE: To investigate the dose-effect relationship between the radiation of ultraviolet ray and the onset of pterygium quantitatively. METHODS: Interrogation was conducted to 95 patients with pterygium in Yacheng district, Sanya City, Hainan Province, 37 males and 58 females, aged 55.7 +/- 13.8 (20 - 80), and 95 local volunteers in 1:1 pairs matched in age, sex, race, and similar habits of wearing glasses and caps (control group). Both the pterygium group and control group were re-divided into three sub-groups: youth (aged < or = 40), middle-aged (aged 41 - 60), and elderly (aged > 60). The time of exposing to ultraviolet ray was calculated. Photo of the pterygium was taken. The length of the pterygium invading into cornea was measured. RESULTS: The ultraviolet ray exposure time of the youth subgroup, pterygium group, was 35,637 +/- 13,587 hours, significantly higher than that of the youth subgroup, control group (26,188 +/- 17,423 hours, t = 3.352, P = 0.006). The ultraviolet ray exposure time of the middle-aged subgroup, pterygium group, was 73,412 +/- 23,082 hours, significantly higher than that of the middle-aged subgroup, control group (63,368 +/- 25,091 hours, t = 2.322, P = 0.024). However, there was no significant difference in the ultraviolet ray exposure time between the elderly subgroups of both groups. The length of the pterygium invading into cornea was positively correlated with the ultraviolet ray exposure time (r = 0.361, P < 0.05), and the length showed a trend of increased with aging. CONCLUSION: There is a certain dose-effect correlation between ultraviolet ray exposure and the etiology of pterygium.

Adult↗

Alignment errors in bitewing radiographs using uncoupled positioning devices.

Errors in X-ray beam alignment account for many of the exposure errors in bitewing radiography. A new method for measuring these alignment errors is described. The alignment accuracy of two different models of inexpensive plastic positioning devices, used for bitewing radiography, were quantified and compared. The technique involves documenting the alignment of an 'ideal' reference radiograph and successive exposures. It permits calculation of X-ray beam-film alignment errors in all subsequent radiographs using the 'ideal' reference. Bitewing radiographs were taken on 61 patients and 19 of these were re-radiographed at 6-month intervals over a 2-year period, providing a total of 156 radiographs for the study. Horizontal and vertical angular deviations were measured and total alignment errors calculated for each radiograph. The average angular alignment error was less than 2 degrees total angular error (1.3-2.4 degrees, 95% confidence intervals). It is concluded that these devices can be used when X-ray beam-film alignment error below 2.5 degrees is acceptable.

Humans↗

Generalized Coddington equations found via an operator method.

Generalized Coddington equations allow the optical properties of an arbitrarily oriented incoming astigmatic ray bundle to be found following refraction by an arbitrary surface. Generalized Coddington equations are developed using the abstract concept of vergence and refraction operators. After suitable incoming vergence and refraction operators have been formed, these operators are re-expressed in a common coordinate system via similarity transformations created from the series of space rotations necessary to align the coordinate systems. The transformed operators are then added together to produce the vergence operator of the refracted ray bundle. When properly applied, these generalized Coddington equations may be used with complex wavefronts and complex refracting surfaces if local surface curvature properties are known for both where the two intersect. The generalized Coddington equations are given in matrix form so that they may be easily implemented.

Journal Article↗

Reconstruction of the pelvic brim and its role in the reduction accuracy of displaced T-shaped acetabular fracture.

Open reduction of the displaced T-shaped acetabular fracture has a problem of accuracy of the fracture reduction. This study was carried out to demonstrate that the reconstruction of the pelvic brim by approaching the pubo-acetabular fragment plays a role in the accuracy of the reduction of displaced T-shaped acetabular fractures. From 1975 to 1990, a retrospective study was carried out of 22 patients who sustained a displaced T-shaped acetabular fracture. The patients were operated on by open reduction and internal fixation of the ischio-acetabular fragment to the posterior column without restoration of the pelvic brim. Radiographs of the pelvis were reviewed. The result showed that there was displacement of the pubo-acetabular fragment including the medial wall in all cases. As the result of this study, a prospective study between 1990 and 1997 was carried out of 15 patients who sustained displaced T-shaped acetabular fractures including 3 cases with medial displacement of the femoral head. The pubo-acetabular fragment was anatomically reduced and fixed to the anterior column of the acetabulumn as the first approach to restore a disrupted pelvic brim. There, patterns of the acetabular fracture were subsequently re-evaluated especially the ischio-acetabular fragment including the position of the femoral head by using an intraoperative portable X-ray technique. The stability of the hip joint was assessed by hip flexion. The intraoperative radiograph appearances of the ischio-acetabular fragment were visually confirmed by a second surgical exposure. The results showed that the intraoperative radiographs gave spontaneous reduction of the ischio-acetabular fragment in all patients except one. There was a reduction of the displaced femoral head into the hip socket in the three patients. The hip joints were stable in all patients. The second surgical exposure showed that there was good spontaneous reduction of the ischio-acetabular fragment to the posterior column by ligamentotaxis in 14 patients. Therefore, it is not necessary to address the ischio-acetabular fragment. In the exceptional case, the ischio-acetabular fragment was displaced as a free bone which could not be reduced by ligamentotaxis. However, reduction and internal fixation of the ischio-acetabular fragment to the posterior column for complete re-application of the hip joint onto the pelvic ring of this case was facilitated. Postoperative 2 year and 5 year follow-up showed that the fracture had healed without heterotrophic ossification or premature osteoarthrosis of the hip joint. The exceptional case had a broken plate at the anterior column of the acetabulum. Hip function was evaluated clinically using Merle D' Aubigne's hip score. All patients had a "very good score". The study showed that reconstruction of the pelvic brim by anatomical reduction and fixation of the pubo-acetabular fragment to the anterior column plays an important role in the accuracy of fracture reduction of a displaced T-shaped acetabular fracture.

Acetabulum↗

Geographical variations in the prevalence of chest x-ray abnormalities detected in tuberculosis surveys in eight African countries south of the Sahara.

A number of national tuberculosis surveys were carried out in the African Region by WHO teams from 1955 to 1960. Chest X-ray examinations were included in most of these surveys, but comparison of the results from different countries was not possible on the basis of the original readings as different X-ray interpreters had been used in the different surveys.A further study was therefore conducted in which the survey films were re-read by a single reader, so as to eliminate inter-reader variation and thereby obtain comparable estimates of the prevalence of tuberculosis as well as of cardiac enlargement and dilatation of the aorta.A method of analysis of variance was used to compare variations from group to group and from country to country, as well as between larger areas within the African continent.It was found that the prevalence of radiologically established tuberculosis was significantly higher in East than in West Africa, and that dilatation of the aorta was up to five times more prevalent along the West African coast than in the Highlands of East Africa. The country-to-country variation did not exceed that expected by chance, and the study seems to underline the fact that epidemiological variations in Africa do not follow national frontiers, but that they are associated with ecological variables which differ between broad regions within the continent.

Africa↗

Structure determination of turkey egg-white lysozyme using Laue diffraction data.

The three-dimensional structure of turkey egg-white lysozyme (TEWL) has been solved and refined at 2.5 A resolution using X-ray data collected by the Laue method. This is the first protein structure determination undertaken using Laue diffraction data. A re-examination of the existing structure of TEWL was necessary when attempts to refine an atomic model based on the C alpha positions in the Protein Data Bank (entry 1LZ2) failed. The correct orientation and position of the turkey lysozyme molecules within the crystallographic unit cell were determined by molecular replacement using a refined model of the homologous hen egg-white lysozyme crystal structure. After modification of the model to reflect the differences in amino-acid sequence between the chicken and turkey enzymes, the structure was subjected to crystallographic refinement using the simulated-annealing refinement technique and conventional least-squares refinement. This yielded a final residual of R = 20.7%. This crystal form is of potential interest for time-resolved crystallographic studies since the amino-acid residues involved in catalysis (Asp52 and Glu35) are accessible to solvent and not blocked by crystal contacts.

Animals↗