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1.
Chemistry ; 26(17): 3661-3687, 2020 Mar 23.
Artigo em Inglês | MEDLINE | ID: mdl-31709642

RESUMO

The two enantiomers of a compound often have profoundly different biological properties and thus their liability to racemisation in aqueous solutions is an important piece of information. The authors reviewed the available data concerning the process of racemisation in vivo, in the presence of biological molecules (e.g., racemase enzymes, serum albumin, cofactors and derivatives) and under purely chemical but aqueous conditions (acid, base and other aqueous systems). Mechanistic studies are described critically in light of reported kinetic data. The types of experimental measurement that can be used to effectively determine rate constants of racemisation in various conditions are discussed and the data they provide is summarised. The proposed origins of enzymatic racemisation are presented and suggest ways to promote the process that are different from processes taking place in bulk water. Experimental and computational studies that provide understanding and quantitative predictions of racemisation risk are also presented.


Assuntos
Racemases e Epimerases/química , Albumina Sérica/química , Cinética , Estereoisomerismo
2.
Int J Surg ; 56: 155-160, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29929023

RESUMO

BACKGROUND: The increasing incidence of morbid obesity suggests that the quantity of bariatric surgical procedures will continue to multiply each year, many patients who have experienced massive weight loss are left with the dissatisfying consequences of loose and redundant skin, resulting in contour irregularities, an aesthetic and functional problem, and profound dissatisfaction with appearance, residual body image dissatisfaction, There is a subsequent increase in the number of patients seeking additional corrective procedures including abdominoplasty which considered as one of the most popular body-contouring procedures. Correcting skin excess, could improve all the corollaries, including body, and functional problems and gives profound satisfaction with appearance, it has shown to improve both psychological and social aspects of the patients' lives. OBJECTIVES: Is there a gender difference in seeking body countering after bariatric surgery for weight loss? PATIENTS AND METHODS: A longitudinal observational study includes 209 obese patients with mean age of 31 ±â€¯8.6 years; (31 ±â€¯9, 31 ±â€¯7 years for female and male patients respectively). Gender ratio M/F = 1.94/1, mean BMI 40 ±â€¯9 kg/m2sin (n = 138 female) and 45±8m2s in (n = 71 male) patients, and Waist circumference 109 ±â€¯7 cm in female and 118 ±â€¯4 cm in males. RESULTS: Some female (n = 10, 7.25%) patients were seeking abdominoplasty from the third month after the operations were they have lost (21 ±â€¯2 kg) of their excess weight, fourteen patients (10.14%), at 6 months and 27 patients (19.56%) at 12 months, but most of male patients were requesting abdominoplasty (n = 7, 09.86%) at 12 months after the operations. Male patients have shifted their ideal from weight loss to abdominoplasty after losing (50-70) of their excess weight 12 months after the operations. The main motivation of requesting abdominoplasty in female and male patients was physical difficulty because of redundant skin, and a smaller number in both genders were motivated by a friend or by a doctor. CONCLUSION: The motivation for abdominoplasty in females is parallel to the amount of EWL or waist circumference. Female patients are looking for body countering three months after surgery, while male patients more often than not request body shaping following one year after surgery, the age groups are invert in genders; female patients asking for body contouring in younger age group while male patients in older age group.


Assuntos
Abdominoplastia/estatística & dados numéricos , Cirurgia Bariátrica , Obesidade Mórbida/psicologia , Complicações Pós-Operatórias/psicologia , Fatores Sexuais , Dermatopatias/psicologia , Abdominoplastia/psicologia , Adulto , Cirurgia Bariátrica/efeitos adversos , Cirurgia Bariátrica/psicologia , Imagem Corporal/psicologia , Estética/psicologia , Feminino , Humanos , Iraque , Masculino , Pessoa de Meia-Idade , Motivação , Obesidade Mórbida/cirurgia , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/cirurgia , Dermatopatias/etiologia , Dermatopatias/cirurgia , Adulto Jovem
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