RESUMEN
An efficient asymmetric synthesis of 6-aminobicyclo[2.2.1]heptane-2-carboxylic acid as a novel gamma-turn mimic has been achieved. Structural analysis of the gamma-amino acid derivative was carried out using (1)H NMR spectroscopy and intramolecular hydrogen bonding between side chain amides confirmed the turn structure, which had been predicted by Ab initio computational study.
Asunto(s)
Aminoácidos Cíclicos/química , Aminoácidos Cíclicos/síntesis química , Compuestos Bicíclicos con Puentes/química , Compuestos Bicíclicos con Puentes/síntesis química , Heptanos/química , Enlace de Hidrógeno , Espectroscopía de Resonancia Magnética , Modelos Moleculares , Imitación Molecular , Estructura Molecular , Norbornanos , Estructura Secundaria de ProteínaRESUMEN
OBJECTIVES: To examine the validity of bleeding from the drill holes used for cannulated screw placement as a method for predicting any subsequent avascular necrosis of the femoral head (AVNFH) after the fixation of intracapsular femoral neck fractures. DESIGN: Retrospective study. SETTING: University hospital. PARTICIPANTS: Forty-four patients (mean age, 51 years; range, 18-76 years) whose femoral neck fractures had been fixed with cannulated screws from March 1999 to January 2001 were enrolled in this study. The fractures were classified according to Garden and included 11 type I, 5 type II, 17 type III, and 11 type IV. The average delay between injury and surgery was 52 hours (< or =24 hours, 26; > or =24 hours, 18; range 7 to 504 hours). The follow-up period was more than 25 months (range, 25-57 months). INTERVENTION: 7.0 mm cannulated screws were used for fracture fixation. Three and 4 screws were used for fixation in 35 and 9 cases, respectively. MAIN OUTCOME MEASUREMENTS: The presence or absence of blood drainage from the holes of the proximal cannulated screws was determined by an independent observer and defined as bleeding or no bleeding throughout a 5 minute observation period. According to those findings, patients were classified into 2 groups: the bleeding group (38 cases), and the nonbleeding group (6 cases). The validity of the relationship between the 2 groups and the development of AVNFH was evaluated according to the sensitivity, specificity, positive predictive value, and negative predictive value. A chi test was used for univariate analysis of the relationship between the related factors with the development of AVNFH. RESULTS: The mean follow-up was 39 months (range, 25-57 months). AVNFH developed in 7 cases (16%). One patient of 38 in the bleeding group (2.6%) and all 6 patients in the nonbleeding group (100%) developed AVNFH. The sensitivity was 86%, specificity 100%, positive predictive value 100%, and negative predictive value 97%. Age (P < 0.734), sex (P < 0.587), the type of the fracture (P < 0.356), procedure interval (P < 0.398), the reduction status of the fracture site (P < 0.3849), the positions of the fixed screws (P < 0.2137), and the existence of osteoporosis (P < 0.4347) were not related to the development of AVNFH. CONCLUSION: It seems that bleeding from the holes of proximal cannulated screws is a simple and accurate perfusion assessment technique for predicting the development of AVNFH after a femoral neck fracture. Given that assumption, primary arthroplasty might be an appropriate choice as a treatment method in a nonbleeding-group patient whose treatment choice is ambivalent or who might not be able to undergo additional surgery should he or she develop a subsequent AVNFH after internal fixation of femoral neck fracture.
Asunto(s)
Fracturas del Cuello Femoral/cirugía , Necrosis de la Cabeza Femoral/etiología , Fijación Interna de Fracturas/efectos adversos , Hemorragia/etiología , Adolescente , Adulto , Anciano , Tornillos Óseos , Femenino , Fracturas del Cuello Femoral/clasificación , Fracturas del Cuello Femoral/diagnóstico por imagen , Estudios de Seguimiento , Fijación Interna de Fracturas/métodos , Humanos , Masculino , Persona de Mediana Edad , Periodo Posoperatorio , Radiografía , Estudios RetrospectivosRESUMEN
The type of lightweight aggregate and its volume fraction in a mix determine the density of lightweight concrete. Minimizing the density obviously requires a higher volume fraction, but this usually causes aggregates segregation in a conventional mixing process. This paper proposes a two-stage casting process to produce a lightweight concrete. This process involves placing lightweight aggregates in a frame and then filling in the remaining interstitial voids with cementitious grout. The casting process results in the lowest density of lightweight concrete, which consequently has low compressive strength. The irregularly shaped aggregates compensate for the weak point in terms of strength while the round-shape aggregates provide a strength of 20 MPa. Therefore, the proposed casting process can be applied for manufacturing non-structural elements and structural composites requiring a very low density and a strength of at most 20 MPa.
RESUMEN
Wear particles liberated from the surfaces of an implanted prosthesis are associated with peri-implant osteolysis and subsequent aseptic loosening. In the latter wear particle-induced inflammation and osteoclastogenesis have been identified as critical factors, and their inhibition as important steps in the treatment of affected patients, such as those undergoing total hip replacement. In this study the ability of luteolin to inhibit both titanium (Ti) particle-induced osteoclastogenesis in vitro and osteolysis in a murine calvaria Ti particle-induced model of osteolysis was examined. The results showed that luteolin, a highly potent and efficient inhibitor of tumor necrosis factor α (TNF-α) and interleukin-6 expression, inhibited Ti particle-induced inflammatory cytokine release, osteoclastogenesis, and bone resorption in bone marrow macrophages. Microcomputed tomography and histological analyses showed that the Ti particles caused significant bone resorption and increased TRAP(+) multinuclear osteoclasts in the murine calvarial model of osteolysis, whereas this was not the case in the luteolin treatment group, in which osteolytic suppression was accompanied by a decrease in both TNF-α production and serum levels of the osteoclast marker the C-terminal telopeptide fragment of type I collagen. These results support the use of luteolin as a natural compound in the prevention and treatment of aseptic loosening after total replacement arthroplasty.
Asunto(s)
Luteolina/farmacología , Osteólisis/inducido químicamente , Titanio/efectos adversos , Animales , Secuencia de Bases , Diferenciación Celular , Medios de Cultivo Condicionados , Cartilla de ADN , Modelos Animales de Enfermedad , Masculino , Ratones , Ratones Endogámicos ICR , Osteoclastos/citología , Osteoclastos/efectos de los fármacos , Prótesis e Implantes , Reacción en Cadena de la Polimerasa de Transcriptasa InversaRESUMEN
Insulation resistance degradation of dielectric BaTiO(3) is expected to be closely correlated to its defect structure frozen in from elevated processing temperatures. For BaTiO(3), respectively doped with variable-valence (Mn(Ti)) and fixed-valence acceptors (Al(Ti)), their defect structures were frozen in by quenching at different equilibrium oxygen activities in the range of -18 < log a(O(2))< or = 0 at 1000 and 900 degrees C, respectively, and their electrical conductivities were measured against temperature in the range of 200 < or =T/K < or = 494 by impedance spectroscopy. Frozen-in defect structures were calculated and compared with the conductivity as measured in the quenched state. A close correlation has been confirmed between the bulk conductivity as measured in the quenched state and the frozen-in defect structure as calculated. The effects of variable- and fixed-valence acceptor impurities on the defect structure and electrical conductivity in the quenched state are highlighted in the light of hole trapping, and the charge transport behavior in the quenched state is discussed.