Фенотипы больных хронической обструктивной болезнью легких и исследование ECLIPSE: первые результаты

Phenotypes of chronic obstructive pulmonary disease and the ECLIPSE study: preliminary results.Фенотипы больных хронической обструктивной болезнью легких и исследование ECLIPSE: первые результаты

Synthesis of nitroxyl radical by direct nucleophilic functionalization of a C-H bond in the azadiene systems

Cyclic dinitrones underwent nucleophilic substitution of the hydrogen atom in the reaction with a paramagnetic carbanion, the lithium derivative of 4,4,5,5-tetramethyl-4,5-dihydro-1H-imidazol-1-oxyl 3-oxide, to give polyfunctional nitronyl nitroxyls. © 2012 Springer Science+Business Media New York

Withdrawal of inhaled corticosteroids in COPD patients: rationale and algorithms

COPD; Treatment algorithm; Guideline adherenceEPOC; Algoritmo de tratamiento; Adherencia a la guía clínicaMPOC; Algoritme de tractament; Adherència a la guia clínicaObservational studies indicate that overutilization of inhaled corticosteroids (ICS) is common in patients with chronic obstructive pulmonary disease (COPD). Overprescription and the high risk of serious ICS-related adverse events make withdrawal of this treatment necessary in patients for whom the treatment-related risks outweigh the expected benefits. Elaboration of an optimal, universal, user-friendly algorithm for withdrawal of ICS therapy has been identified as an important clinical need. This article reviews the available evidence on the efficacy, risks, and indications of ICS in COPD, as well as the benefits of ICS treatment withdrawal in patients for whom its use is not recommended by current guidelines. After discussing proposed approaches to ICS withdrawal published by professional associations and individual authors, we present a new algorithm developed by consensus of an international group of experts in the field of COPD. This relatively simple algorithm is based on consideration and integrated assessment of the most relevant factors (markers) influencing decision-making, such a history of exacerbations, peripheral blood eosinophil count, presence of infection, and risk of community-acquired pneumonia

Роль факультетской терапевтической клиники Московской медицинской академии им. И.М.Сеченова в развитии отечественной пульмонологии

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New approach to synthesis of nitronyl and imino nitroxides based on SNH methodology

It is shown that SN H approach opens new possibilities in the synthesis of polyfunctional nitronyl and imino nitroxides. It is found that the interaction of 4,4,5,5-tetramethyl-4,5-dihydro-1H-imidazol-3-oxide-1- oxyl lithium salt Li1 with 3,6-diaryl-1,2,4-triazines leads to formation of the corresponding triazines bearing nitronyl nitroxide or imino nitroxide substituent at position 5 of the heterocycle. The reaction of Li1 with pyridazine-N-oxide gives rise to nitroxide with buten-3-ynyl substituent 5. Spin-labeled 5 could be readily transformed by the use of 1,3-dipolar and nucleophilic addition reactions, as well as oxidative coupling, that gives a large group of new paramagnets: 2-(1H-pyrazol-5-yl)vinyl-, 2-ethynylcyclopropyl- , 2-(3-(ethoxycarbonyl) isoxazol-5-yl)vinyl-, 1-(pyrrolidin-1-yl)but-3-ynyl- substituted nitronyl nitroxide and a diradical - 2,2′-((1E,7E)-octa-1,7- dien-3,5-diyne-1,8-diyl)bis(4,4,5,5-tetramethyl-4,5-dihydro-1H-imidazol-3-oxide- 1-oxyl). The new nitroxides were characterized by X-ray single crystal data, ESR and static magnetic susceptibility measurements. © ARKAT USA, Inc

Влияние недостаточности α1-антитрипсина на поражение легких

Effects of alfa-1-antitripsin deficiency on lung disease.Влияние недостаточности α1-антитрипсина на поражение легких