60 research outputs found

    'Treatment of the Sportsman's groin': British Hernia Society's 2014 position statement based on the Manchester Consensus Conference

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    <b>Introduction</b> The aim was to produce a multidisciplinary consensus to determine the current position on the nomenclature, definition, diagnosis, imaging modalities and management of Sportsman's groin (SG).<p></p> <b>Methods</b> Experts in the diagnosis and management of SG were invited to participate in a consensus conference held by the British Hernia Society in Manchester, UK on 11–12 October 2012. Experts included a physiotherapist, a musculoskeletal radiologist and surgeons with a proven track record of expertise in this field. Presentations detailing scientific as well as outcome data from their own experiences were given. Records were made of the presentations with specific areas debated openly.<p></p> <b>Results</b> The term ‘inguinal disruption’ (ID) was agreed as the preferred nomenclature with the term ‘Sportsman's hernia’ or ‘groin’ rejected, as no true hernia exists. There was an overwhelming agreement of opinion that there was abnormal tension in the groin, particularly around the inguinal ligament attachment. Other common findings included the possibility of external oblique disruption with consequent small tears noted as well as some oedema of the tissues. A multidisciplinary approach with tailored physiotherapy as the initial treatment was recommended with any surgery involving releasing the tension in the inguinal canal by various techniques and reinforcing it with a mesh or suture repair. A national registry should be developed for all athletes undergoing surgery.<p></p> <b>Conclusions</b> ID is a common condition where no true hernia exists. It should be managed through a multidisciplinary approach to ensure consistent standards and outcomes are achieved

    Allylic Oxidation of Alkenes Catalyzed by a Copper−Aluminum Mixed Oxide

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    A strategy for the allylic oxidation of cyclic alkenes with a copper−aluminum mixed oxide as catalyst is presented. The reaction involves the treatment of an alkene with a carboxylic acid employing tert-butyl hydroperoxide as the oxidant. In all cases, the corresponding allylic esters are obtained. When L-proline is employed, the allylic alcohol or ketone is obtained. The oxidation of cyclohexene and valencene has been optimized by design of experiments (DoE) statistical methodology

    Convenient Synthesis of Cationic (eta-3-allyl)palladium Complexes - Preparative and Stereochemical Aspects

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    The oxidative addition of allylic trifluoroacetates to Pd(dba)2 (dba = dibenzylideneacetone) gives (eta-3-allyl)palladium trifluoroacetates in excellent yields. The stereochemistry of the reaction is solvent dependent; i.e., predominant trans addition is observed in a THF/MeCN mixture, whereas cis addition dominates in pure THF. By addition of a neutral ligand the trifluoroacetates can be converted to cationic complexes either directly (giving trifluoroacetate salts) or by in situ ion exchange with tetrafluoroboric acid (giving tetrafluoroborate salts). The syn-anti stereochemistry of the cationic eta-3-allyl complexes can be largely controlled by the use of the hindered ligand 2,9-dimethyl-1,10-phenanthroline under the appropriate preparative conditions. Cationic complexes with phenanthroline ligands can also be prepared in good yields by acid-assisted oxidative addition of allylic acetates and alcohols to Pd(dba)2

    Toward solar energy conversion into fuels: Design and synthesis of ruthenium-manganese supramolecular complexes to mimic the function of photosystem II

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    To mimic the electron donor side of Photosystem II (PSII), a number of supramolecular model complexes have been designed and synthesized. Ruthenium(II) tris-bipyridyl complexes have been used in most cases as photosensitizers, mimicking the function of P-680 in PSII. As electron donors, monomeric and dimeric manganese complexes and tyrosine have been introduced into the supramolecular systems, modelling the Mn cluster and Tyrosinez respectively in PSII For monomeric manganese complexes, di-, tri- and tetradentate ligands have been linked to a Ruthenium(II) trisbipyridyl type complex; and for dimeric manganese complexes hepta-dentate ligands containing pyridines have been used. Some related ligands, where two pyridines have been replaced by phenolate groups have also been synthesized, in order to get ligands that can stabilize manganese complex in high valence states. Photophysical and photochemical studies showed that the electron transfer rate from monomeric Mn complex to photo-generated Ru(III) was low when Mn-Ru distance was long, while the electron transfer rate was enhanced when the Mn-Ru distance was short. However, the excited state of ruthenium complex was quenched if Mn got close to the Ru, leading to a short lifetime. By synthetically inserting a tyrosine unit between Ru and Mn moieties, quenching of the excited state lifetime of Ru was reduced, and the electron transfer from Mn to Ru(III) was very fast although the Mn-Ru distance was long. These supramolecular Ru-Mn systems are closely modelling the electron donor side of PSII both functionally and structurally. The design and synthesis of these model systems are summarized and discussed in this chapter
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