573 research outputs found

    Zinc calixarene complexes for the ring opening polymerization of cyclic esters

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    Reaction of Zn(C₆F₅)₂·toluene (two equivalents) with 1,3-dipropoxy-p-tert-butyl-calix[4]arene (LÂčH₂) led to the isolation of the complex [{Zn(C₆F₅)}₂LÂč] (1), whilst similar use of Zn(Me)₂ resulted in the known complex [{Zn(Me)}₂LÂč] (2). Treatment of LÂčH₂ with in situ prepared Zn{N(SiMe₃)₂}₂ in refluxing toluene led to the isolation of the compound [(Na)ZnN(SiMe₃)₂LÂč] (3). The stepwise reaction of LÂčH₂ and sodium hydride, followed by ZnCl₂ and finally NaN(SiMe₃)₂ yielded the compound [Zn{N(SiMe₃)₂}₂LÂč] (4). The reaction between three equivalents of Zn(C₆F₅)₂·toluene and oxacalix[3]arene (LÂČH₃) at room temperature formed the compound {[Zn(C₆F₅)]₃LÂČ} (5); heating of 5 in acetonitrile caused the ring opening of the parent oxacalix[3]arene and rearrangement to afford the complex [(LÂČ)Zn₆(C₆F₅)(R)(RH)OH]·5MeCN R = C₆F₅CH₂-(p-á”—BuPhenolate-CH₂OCH₂–)₂–p-á”—BuPhenolate-CH₂O⁻)³⁻ (6). The molecular structures of the new complexes 1, 3 and 6, together with that of the known complex 2, whose solid state structure has not previously been reported, have been determined. Compounds 1, 3–5 have been screened for the ring opening polymerization (ROP) of Δ-caprolactone (Δ-CL) and rac-lactide. Compounds featuring a Zn–C₆F₅ fragment were found to be poor ROP pre-catalysts as they did not react with benzyl alcohol to form an alkoxide. By contrast, compound 4, which contains a zinc silylamide linkage, was the most active of the zinc-based calix[4]arene compounds screened and was capable of ROP at ambient temperature with 65% conversion over 4 h

    Cardiogenic shock complicating acute myocardial infarction: The use of coronary angioplasty and the integration of the new support devices into patient management

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    Conventional therapy for cardiogenic shock complicating acute myocardial infarction continues to be associated with a high in-hospital mortality rate. Hemodynamic support with new mechanical devices and emergency coronary revascularization may alter the long-term prognosis for patients with this complication. Between July 1985 and March 1990, 68 patients presented to the University of Michigan with acute myocardial infarction and cardiogenic shock. Interventions performed included thrombolytic therapy (46%), intraaortic balloon pump counterpulsation (70%), cardiac catheterization (86%), coronary angioplasty (73%), emergency coronary artery bypass grafting/ventricular septal defect repair (15%), Hemopump insertion (11%), percutaneous cardiopulmonary support (4%) and ventricular assist device (3%).The 30-day survival rate was significantly better in patients who had successful angioplasty of the infarct-related artery than in patients with failed angioplasty (61% vs. 7%, p = 0.002) or no attempt at angioplasty (61% vs. 14%, p = 0.003). This difference was maintained over the 1-year follow-up period. The only clinical variable that predicted survival was age <65 years.The early use of the new support devices in 10 patients was associated with death in 8 (80%), but this poor outcome may reflect a selection bias for an especially high risk population. Collectively, these recent data continue to suggest that emergency revascularization with angioplasty may reduce the mortality rate, but further study is required to define optimal utilization and integration of new support devices

    Recurrence of a left atrial myxoma

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    A fatal recurrence of a left atrial myxoma was observed despite resection of the original tumor complete with its stalk and a portion of atrial septum. The evidence suggests that this recurrent tumor developed from "pre-tumor" cells in the region of the fossa ovalis. The rate of growth of the second tumor was faster than would have been predicted. Clinical manifestations were similar to those with the initial tumor. Wide excision of the atrial septum with the stalk of such tumors should offer the best chance for operative cure, but prolonged postoperative observation is important if signs of recurrence are to be detected at a time when operative removal can be carried out with minimal risk to the patient.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/34209/1/0000498.pd

    Conservation physiology can inform threat assessment and recovery planning processes for threatened species

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    Conservation physiology has emerged as a discipline with many success stories. Yet, it is unclear how it is currently integrated into the activities of the IUCN and other bodies which undertake international, national, or regional species threat assessments and work with partners to develop recovery plans. Here we argue that conservation physiology has much to offer for the threat assessment process and we outline the ways in which this can be operationalized. For instance, conservation physiology is effective in revealing causal relationships and mechanisms that explain observed patterns, such as population declines. Identifying the causes of population declines is a necessary precursor to the design of actions to reverse or mitigate such threats. Conservation physiology can also identify complex interactions and support modeling activities that consider emerging threats. When a population or species is deemed threatened and recovery plans are needed, physiology can be used to predict how organisms will respond to the conservation intervention and future threats. For example, if a recovery plan was focused on translocation, understanding how to safely translocate organisms would be necessary, as would ensuring that the recipient habitat provides the necessary environmental characteristics to meet the fundamental physiological needs/tolerances of that organism. Our hope is that this paper will clarify ways in which physiological data can make an important contribution to the conservation activities of bodies like the IUCN that are engaged in threat assess

    Mechanism of opiate mediated systemic and coronary vasoconstriction

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    Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/24142/1/0000399.pd

    A natural history study of the prognostic role of coronary arteriography

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    Coronary cinearteriograms, clinical records, and left ventriculograms of 304 patients studied for evaluation of chest pain were reviewed. Clinical and follow-up data on survival of the normal subjects and the nonoperative group with abnormal arteriograms are presented.Ninety-two per cent of patients with typical angina pectoris had serious coronary occlusive disease. Ninety-eight per cent of patients with relatively normal coronary arteriograms survived for one to 60 or more months (mean follow-up period 24 months).There was a high mortality rate when the left main coronary artery was involved (47 per cent) and when the left coronary anterior descending branch was seriously occluded (28 per cent when arteriographic scores were high and 14 per cent when total scores were low) and a low mortality rate (0 to 7 per cent) when the LAD was normal. Mean follow-up interval in these groups was 19 months.The mortality rate was nearly three times greater when patients had QRS changes on ECG of prior myocardial infarction and six times greater when left ventricular contraction was significantly impaired.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/22297/1/0000740.pd

    Festchrift: A Collection of Essays on Architectural History

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    A collection of essays on architectural history prepared by the Northern Pacific Coast Chapter Society of Architectural Historians dedicated to Professor Marion Dean Ross, chapter founder, on the occasion of his 65th birthday
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