Two unexpected effects found with 2,3,4,6-tetra-O-mthyl-D-gluco and mannopyranosyl oxacarbenium ions: An O-2 Pseudo-equatorial preference and a large H-2-C-2--O-2-CH 3 syn .

In press: YesNRC publication: Ye

ST-segment elevation associated with allergic reaction to echocardiographic contrast agent administration

Cardiolog

Results at 1 year of outpatient multidisciplinary pulmonary rehabilitation: a randomised controlled trial

Background: Pulmonary rehabilitation seems to be an effective intervention in patients with chronic obstructive pulmonary disease. We undertook a randomised controlled trial to assess the effect of outpatient pulmonary rehabilitation on use of health care and patients' wellbeing over 1 year. Methods: 200 patients with disabling chronic lung disease (the majority with chronic obstructive pulmonary disease) were randomly assigned a 6-week multidisciplinary rehabilitation programme (18 visits) or standard medical management. Use of health services was assessed from hospital and general-practice records. Analysis was by intention to treat. Findings: There was no difference between the rehabilitation (n=99) and control (n=101) groups in the number of patients admitted to hospital (40 vs 41) but the number of days these patients spent in hospital differed significantly (mean 10·4 [SD 9·7] vs 21·0 [20·7], p=0·022). The rehabilitation group had more primary-care consultations at the general practitioner's premises than did the control group (8·6 [6·8] vs 7·3 [8·3], p=0·033) but fewer primary-care home visits (1·5 [2·8] vs 2·8 [4·6], p=0·037). Compared with control, the rehabilitation group also showed greater improvements in walking ability and in general and disease-specific health status. Interpretation: For patients chronically disabled by obstructive pulmonary disease, an intensive, multidisciplinary, outpatient programme of rehabilitation is an effective intervention, in the short term and the long term, that decreases use of health services

In-beam gamma-ray spectroscopy in the sdpf Ar-37 nucleus

The nucleus Ar-37 has been studied with gamma-ray spectroscopy in the Mg-24(O-16,2pn) reaction at a beam energy of 70 MeV. Twenty two new excited states up to an excitation energy of 13 MeV have been observed. We compare the first negative and positive parity yrast states with large-scale-shell-model calculations using the Antoine code and the SDPF interaction, considering the excitation of the 1d(5/2), 2s(1/2) and 1d(3/2) nucleons to 1f(7/2) and 2p(3/2) in the sdpf valence space