Volume CXIV, Number 4, November 7, 1996

Objective: Turner syndrome (TS) is a chromosomal disorder caused by complete or partial X chromosome monosomy that manifests various clinical features depending on the karyotype and on the genetic background of affected girls. This study aimed to systematically investigate the key clinical features of TS in relationship to karyotype in a large pediatric Turkish patient population.Methods: Our retrospective study included 842 karyotype-proven TS patients aged 0-18 years who were evaluated in 35 different centers in Turkey in the years 2013-2014.Results: The most common karyotype was 45,X (50.7%), followed by 45,X/46,XX (10.8%), 46,X,i(Xq) (10.1%) and 45,X/46,X,i(Xq) (9.5%). Mean age at diagnosis was 10.2±4.4 years. The most common presenting complaints were short stature and delayed puberty. Among patients diagnosed before age one year, the ratio of karyotype 45,X was significantly higher than that of other karyotype groups. Cardiac defects (bicuspid aortic valve, coarctation of the aorta and aortic stenosis) were the most common congenital anomalies, occurring in 25% of the TS cases. This was followed by urinary system anomalies (horseshoe kidney, double collector duct system and renal rotation) detected in 16.3%. Hashimoto's thyroiditis was found in 11.1% of patients, gastrointestinal abnormalities in 8.9%, ear nose and throat problems in 22.6%, dermatologic problems in 21.8% and osteoporosis in 15.3%. Learning difficulties and/or psychosocial problems were encountered in 39.1%. Insulin resistance and impaired fasting glucose were detected in 3.4% and 2.2%, respectively. Dyslipidemia prevalence was 11.4%.Conclusion: This comprehensive study systematically evaluated the largest group of karyotype-proven TS girls to date. The karyotype distribution, congenital anomaly and comorbidity profile closely parallel that from other countries and support the need for close medical surveillance of these complex patients throughout their lifespa

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Metallo-catalyzed synthesis of acyclic nucleoside phosphonates, nucleosides and heterocycles with potential antiviral activities

Les nucléosides modifiés représentent aujourd'hui une famille incontournable dans la chimiothérapie antivirale. Leur développement progressif au cours de ces 50 dernières années a permis d'endiguer de nombreuses épidémies et d'apporter des traitements efficaces contre de nombreux virus tels que les herpès, les hépatites ou encore le VIH. Toutefois, les infections virales continuent de représenter un problème de santé publique majeur en raison de l'émergence de souches virales résistante aux traitements existants ainsi que l'apparition de nouveaux virus. A ce titre, le développement de nouveaux antiviraux plus actifs, plus sûrs et/ou possédant des modes d'action alternatifs reste plus que jamais d‘actualité. Ce manuscrit, divisé en deux grandes parties, présente d'abord la synthèse métallo-catalysée de nouvelles familles de dérivés nucléosidiques (acycliques et osidiques) puis s'étend ensuite à la préparation de dérivés hétérocycliques à visée anti-VIH. Ainsi, dans une première partie, l'utilisation de réactions de métathèses croisées, catalysées au Ru et activées par les ultrasons, ainsi que l'emploi de lipases dans des réactions de protections/déprotections régiosélectives nous ont permis d'élaborer deux nouvelles familles de nucléosides acycliques alkényles. D'autre part, des réactions d'hétérocouplages acétyléniques catalysées au Ni/Cu ont été réalisés dans le cadre de la synthèse d'une bibliothèque de 2'-déoxyuridines portant un motif 1,3-diyne en position C5. Dans une deuxième partie, la réaction multicomposante de Biginelli a été utilisée dans le développement d'une série de dérivés de dihydropyrimidines β-dicétoacides à visée anti-VIH par inhibition de l'intégrase virale.Modified nucleosides represent the cornerstone of antiviral chemotherapy. Their progressive development over the last 50 years permitted to contain many epidemics and provided effective treatments against many viruses such as herpes, hepatitis or HIV. However, viral infections remain a major public health problem due to the emergence of resistant strains to existing treatments and the appearance of new viruses. As such, the development of new antivirals, most active and safer and/or acting through alternative mechanisms remains, more than ever, necessary. In this context, the work presented in this manuscript are part of the effort to design and synthesize new molecules with antiviral activities. This manuscript, divided in two parts, firstly focus on the metallo-catalyzed synthesis of new families of nucleoside derivatives (acyclic and osidic) and continue with the synthesis of heterocyclic structures targeting anti-HIV activity. Thus, the use of Ru-catalyzed metathesis reactions under ultrasonic activation and the lipases-catalyzed regioselective protection/deprotection reactions allowed us to develop two new families of alkenyl acyclic nucleosides. The synthesis and antiviral evaluation of C5-(1,3-diyne)-2'-deoxyuridine derivatives, prepared by Ni/Cu-mediated alkyne C-H heterocoupling reaction, are also described. In the second part, the multicomponent Biginelli reaction has been used to develop a series of dihydropyrimidine derivatives bearing a β-diketoacids unit targeting anti-HIV activity by inhibition of the viral integrase

Synthèse métallo-catalysée d'acyclonucléosides phosphonates, de nucléosides et d'hétérocycles à visée antivirale

Modified nucleosides represent the cornerstone of antiviral chemotherapy. Their progressive development over the last 50 years permitted to contain many epidemics and provided effective treatments against many viruses such as herpes, hepatitis or HIV. However, viral infections remain a major public health problem due to the emergence of resistant strains to existing treatments and the appearance of new viruses. As such, the development of new antivirals, most active and safer and/or acting through alternative mechanisms remains, more than ever, necessary. In this context, the work presented in this manuscript are part of the effort to design and synthesize new molecules with antiviral activities. This manuscript, divided in two parts, firstly focus on the metallo-catalyzed synthesis of new families of nucleoside derivatives (acyclic and osidic) and continue with the synthesis of heterocyclic structures targeting anti-HIV activity. Thus, the use of Ru-catalyzed metathesis reactions under ultrasonic activation and the lipases-catalyzed regioselective protection/deprotection reactions allowed us to develop two new families of alkenyl acyclic nucleosides. The synthesis and antiviral evaluation of C5-(1,3-diyne)-2'-deoxyuridine derivatives, prepared by Ni/Cu-mediated alkyne C-H heterocoupling reaction, are also described. In the second part, the multicomponent Biginelli reaction has been used to develop a series of dihydropyrimidine derivatives bearing a β-diketoacids unit targeting anti-HIV activity by inhibition of the viral integrase.Les nucléosides modifiés représentent aujourd'hui une famille incontournable dans la chimiothérapie antivirale. Leur développement progressif au cours de ces 50 dernières années a permis d'endiguer de nombreuses épidémies et d'apporter des traitements efficaces contre de nombreux virus tels que les herpès, les hépatites ou encore le VIH. Toutefois, les infections virales continuent de représenter un problème de santé publique majeur en raison de l'émergence de souches virales résistante aux traitements existants ainsi que l'apparition de nouveaux virus. A ce titre, le développement de nouveaux antiviraux plus actifs, plus sûrs et/ou possédant des modes d'action alternatifs reste plus que jamais d‘actualité. Ce manuscrit, divisé en deux grandes parties, présente d'abord la synthèse métallo-catalysée de nouvelles familles de dérivés nucléosidiques (acycliques et osidiques) puis s'étend ensuite à la préparation de dérivés hétérocycliques à visée anti-VIH. Ainsi, dans une première partie, l'utilisation de réactions de métathèses croisées, catalysées au Ru et activées par les ultrasons, ainsi que l'emploi de lipases dans des réactions de protections/déprotections régiosélectives nous ont permis d'élaborer deux nouvelles familles de nucléosides acycliques alkényles. D'autre part, des réactions d'hétérocouplages acétyléniques catalysées au Ni/Cu ont été réalisés dans le cadre de la synthèse d'une bibliothèque de 2'-déoxyuridines portant un motif 1,3-diyne en position C5. Dans une deuxième partie, la réaction multicomposante de Biginelli a été utilisée dans le développement d'une série de dérivés de dihydropyrimidines β-dicétoacides à visée anti-VIH par inhibition de l'intégrase virale

Synthèse métallo-catalysée d'acyclonucléosides phosphonates, de nucléosides et d'hétérocycles à visée antivirale

Les nucléosides modifiés représentent aujourd'hui une famille incontournable dans la chimiothérapie antivirale. Leur développement progressif au cours de ces 50 dernières années a permis d'endiguer de nombreuses épidémies et d'apporter des traitements efficaces contre de nombreux virus tels que les herpès, les hépatites ou encore le VIH. Toutefois, les infections virales continuent de représenter un problème de santé publique majeur en raison de l'émergence de souches virales résistante aux traitements existants ainsi que l'apparition de nouveaux virus. A ce titre, le développement de nouveaux antiviraux plus actifs, plus sûrs et/ou possédant des modes d'action alternatifs reste plus que jamais d actualité. Ce manuscrit, divisé en deux grandes parties, présente d'abord la synthèse métallo-catalysée de nouvelles familles de dérivés nucléosidiques (acycliques et osidiques) puis s'étend ensuite à la préparation de dérivés hétérocycliques à visée anti-VIH. Ainsi, dans une première partie, l'utilisation de réactions de métathèses croisées, catalysées au Ru et activées par les ultrasons, ainsi que l'emploi de lipases dans des réactions de protections/déprotections régiosélectives nous ont permis d'élaborer deux nouvelles familles de nucléosides acycliques alkényles. D'autre part, des réactions d'hétérocouplages acétyléniques catalysées au Ni/Cu ont été réalisés dans le cadre de la synthèse d'une bibliothèque de 2'-déoxyuridines portant un motif 1,3-diyne en position C5. Dans une deuxième partie, la réaction multicomposante de Biginelli a été utilisée dans le développement d'une série de dérivés de dihydropyrimidines b-dicétoacides à visée anti-VIH par inhibition de l'intégrase virale.Modified nucleosides represent the cornerstone of antiviral chemotherapy. Their progressive development over the last 50 years permitted to contain many epidemics and provided effective treatments against many viruses such as herpes, hepatitis or HIV. However, viral infections remain a major public health problem due to the emergence of resistant strains to existing treatments and the appearance of new viruses. As such, the development of new antivirals, most active and safer and/or acting through alternative mechanisms remains, more than ever, necessary. In this context, the work presented in this manuscript are part of the effort to design and synthesize new molecules with antiviral activities. This manuscript, divided in two parts, firstly focus on the metallo-catalyzed synthesis of new families of nucleoside derivatives (acyclic and osidic) and continue with the synthesis of heterocyclic structures targeting anti-HIV activity. Thus, the use of Ru-catalyzed metathesis reactions under ultrasonic activation and the lipases-catalyzed regioselective protection/deprotection reactions allowed us to develop two new families of alkenyl acyclic nucleosides. The synthesis and antiviral evaluation of C5-(1,3-diyne)-2'-deoxyuridine derivatives, prepared by Ni/Cu-mediated alkyne C-H heterocoupling reaction, are also described. In the second part, the multicomponent Biginelli reaction has been used to develop a series of dihydropyrimidine derivatives bearing a b-diketoacids unit targeting anti-HIV activity by inhibition of the viral integrase.ORLEANS-SCD-Bib. electronique (452349901) / SudocSudocFranceF

Synthesis, antimicrobial and antimutagenic effects of novel polymeric-Schiff bases including indol

WOS: 000475344800091Herein, the synthesis and characterization of three new polymeric-Schiff bases including indol (L-1, L-2, L-3) were reported. The antibacterial and antifungal activity of all compounds were investigated by the well-diffusion method against some selected microorganisms as potential antimicrobial agents. In addition, the anti-genotoxic properties of these polymeric-Schiff bases were examined against sodium azide in human lymphocyte cells by micronuclei (MN) and sister chromatid exchange (SCE) tests. (C) 2019 Elsevier B.V. All rights reserved.Duzce UniversityDuzce University; Nevsehir Haci Bektas Veli UniversityNevsehir Haci Bektas Veli UniversityWe thank Duzce University and Nevsehir Haci Bektas Veli University for equipment funding

Qualitative enzymatic detection of organophosphate and carbamate insecticides

In this study, new polymers containing amides (TrisPS-Ntaa, andTrisPS-Ntaa-Fc) were synthesized by condensation reaction for qualitative identification of insecticides. The synthesized polymers, including amides were investigated by infrared spectroscopy (IR), scanning electron microscopy-energy dispersion X- ray spectrometry (SEM-EDX), and gel permeation chromatography (GPC). Then, acetylcholinesterase enzyme (AChE) was covalently immobilized on these polymers to improve properties (including activity, reusability, and storage stability). Accordingly, organophosphate (malathion, acephate, chlorpyrifos methyl) and carbamate (carbofuran, methiocarb, methomyl), which are used to prevent harmful organisms in some agricultural products were enzymatically determined based on their inhibitory activity on AChE.Duzce University Research FundDuzce University [2017.07.06.661]This work was supported by Duzce University Research Fund (Project number: 2017.07.06.661).WOS:0005512994000012-s2.0-85088478841PubMed: 3269865