RESUMO
To retrieve, analyze, and extract evidence related to subcutaneous emphysema in patients undergoing laparoscopic surgery systematically, and provide evidence-based recommendations for reducing its incidence. By browsing the websites of the National Institute for Health and Clinical Excellence, the International Guideline Collaboration Network, the National Guideline Library of the United States, the Registered Nurses Association of Ontario, the Scottish Intercollegiate Guideline Network, the Clinical Practice Guidelines website of the Canadian Medical Association, UpToDate, Web of Science, PubMed, OVID, Cochrane Library, Embase, Chinese Biomedical Database, CNKI, VIP, and Wanfang Database, relevant literatures, guidelines, systematic reviews, evidence summaries, expert consensus, randomized controlled trials, etc. about subcutaneous emphysema in patients undergoing laparoscopic surgery were retrieved. All searches were limited to articles published between 1st January 2010 to 1st August 2023. 2245 articles were identified in total, 10 articles were included after exclude literature that does not meet the standards, including 3 clinical decision-making articles, 2 review papers, and 5 randomized controlled trials. Evidence summarization was conducted from 5 aspects: influencing factors, prevention, establishment and management of pneumoperitoneum, intraoperative monitoring, and intervention methods, 15 pieces of best evidences were summarized. Clinical staffs should transform and apply the evidence-based practices to decrease the incidence of subcutaneous emphysema and enhance the quality of life for patients.
Assuntos
Laparoscopia , Enfisema Subcutâneo , Humanos , Enfisema Subcutâneo/prevenção & controle , Enfisema Subcutâneo/etiologia , Enfisema Subcutâneo/epidemiologia , Laparoscopia/efeitos adversos , Laparoscopia/métodos , Incidência , Medicina Baseada em Evidências , Complicações Pós-Operatórias/prevenção & controle , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/etiologia , Pneumoperitônio Artificial/efeitos adversos , Pneumoperitônio Artificial/métodos , Ensaios Clínicos Controlados Aleatórios como Assunto , Monitorização Intraoperatória/métodosRESUMO
Using the polydentate ligand of H4L with the CoII ion, a triangular prism-type nine-nucleus cluster [Co9(L)3(CH2OCH2OH)6]·3.5H2O ({Co9}-Eg, H4L = 6,6'-(1H,1'H-[3,3'-bi(1,2,4-triazole)]-5,5'-diyl)dipicolinic acid) was constructed. Ion fragmentation during the formation of the {Co9}-Eg cluster was tracked using time-dependent electrospray ionization mass spectrometry. In addition, we proposed two possible formation processes (i) H4L â CoL â Co2L â Co6L3 â Co7L3 â Co9L3 and (ii) H4L â CoL â Co2L â Co3L â Co5L2 â Co7L3 â Co9L3. Magnetic studies show that {Co9}-Eg exhibits slow relaxation under a static zero field at low temperature, which is the main characteristic of single molecule magnets (SMMs).
RESUMO
Two doubly interpenetrated coordination polymers [Co2(BDC)2(bpt)2]·nSolvent based on dimeric secondary building units and crystallizing with distinct solvent molecules (-H2O and -MeOH for nSolvent = 2H2O and MeOH·H2O, respectively) were obtained by employing 1,4-benzenedicarboxylate (BDC) and 1H-3,5-bis(4-pyridyl)-1,2,4-triazole) (bpt) as linkers. The structures consist of a square grid of dimers bridged by BDC and pillared by bpt. Thermogravimetry and PXRD indicate that the frameworks are stable and are retained up to 400 °C, but the structures are modified irreversibly. -H2O, high-symmetry Pna21, exhibits antiferromagnetic coupling within the dimer, while -MeOH, low-symmetry P21/n, exhibits ferromagnetic coupling. Upon desolvation, the -de and -de couplings are antiferromagnetic but reduced. Subsequent resolvation to -H2O and -MeOH resulted in a slight increase of the antiferromagnetic coupling without attaining the virgin states. The interesting difference of magnetic properties between -H2O and -MeOH, the solvated/desolvated phases, particularly at low temperature, indicates that there is a prominent solvent effect.
Assuntos
Fenômenos Magnéticos , Compostos Organometálicos/química , Solventes/química , Modelos Moleculares , Conformação Molecular , Compostos Organometálicos/síntese química , Triazóis/químicaRESUMO
A new rare earth metal and samarium-catalyzed C(sp(3))-H bond activation is reported in which 2-alkylazaarenes and propargylic alcohols were converted to indolizines. This process operates under mild conditions and solvent-free conditions. A broad scope of coupling partners has been established, and a likely mechanism has also been suggested.
Assuntos
Alcinos/química , Compostos Aza/química , Indolizinas/síntese química , Propanóis/química , Samário/química , Catálise , Indolizinas/química , Estrutura MolecularRESUMO
In the title compound, [Co(C(6)H(6)N(4))(2)(H(2)O)(2)](C(16)H(8)O(8)), the Co(II) cation and the organic anion occupy different crystallographic inversion centres and, as a consequence, the asymmetric unit comprises two half-mol-ecules. The benzene groups are coplanar. The four coordinating N atoms of the two bidentate biimidazole ligands define the equatorial plane of a slightly distorted octa-hedral CoO(2)N(4) geometry, and the water O atoms lie in the axial coordination sites. Translational (a,) and inversion-related symmetry operations link the Co complex mol-ecules and the negatively charged carboxyl-ate anions via inter-molecular N-Hâ¯O and O-Hâ¯O hydrogen bonds into sheets parallel to (01). The coordinated water mol-ecules connect the sheets through O-Hâ¯O hydrogen bonds, forming a three-dimensional framework. In addition, two intra-molecular O-Hâ¯O hydrogen bonds are observed between the carboxyl and carboxyl-ate groups.