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Organocatalysts for enantioselective synthesis of fine chemicals: definitions, trends and developments 精细化学品对映选择性合成的有机催化剂:定义、趋势和发展
Pub Date : 2015-07-23 DOI: 10.14293/S2199-1006.1.SOR-CHEM.AGZIIB.V3
M. Guidotti, Chiara Palumbo
AbstractOrganocatalysis, that is the use of small organic molecules to catalyze organic transformations, has been included among the most successful concepts in asymmetric catalysis, and it has been used for the enantioselective construction of C–C, C–N, C–O, C–S, C–P and C–halide bonds. Since the seminal works in early 2000, the scientific community has been paying an ever-growing attention to the use of organocatalysts for the synthesis, with high yields and remarkable stereoselectivities, of optically active fine chemicals of interest for the pharmaceutical industry. A brief overview is here presented about the two main classes of organocatalysis which are respectively characterized by covalent and non-covalent activation of the substrate. More detailed information about non-covalent interactions for organocatalysis are given. Finally, some successful examples of heterogenisation of organocatalysts are also discussed, in the view of a potential industrial exploitation.
摘要有机催化,即利用有机小分子催化有机转化,是不对称催化中最成功的概念之一,它已被用于C-C、C-N、C-O、C-S、C-P和c -卤化物键的对映选择性构建。自2000年初的开创性工作以来,科学界一直在关注有机催化剂在合成具有高收率和显著立体选择性的光学活性精细化学品方面的应用,这是制药工业感兴趣的。简要概述了两类主要的有机催化,它们分别以共价和非共价底物活化为特征。给出了关于有机催化的非共价相互作用的更详细的信息。最后,从潜在的工业开发的角度,讨论了有机催化剂的多相化的一些成功的例子。
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引用次数: 0
Disrupting the subscription journals’ business model for the necessary large-scale transformation to open access: A Max Planck Digital Library Open Access Policy White Paper 打破订阅期刊的商业模式,实现必要的大规模开放获取转型:马克斯普朗克数字图书馆开放获取政策白皮书
Pub Date : 2015-06-10 DOI: 10.14293/S2199-1006.1.SOR-EDU.AJRG23.V1
K. Geschuhn
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引用次数: 53
Deuterated nucleotides as chemical probes of RNA structure: a detailed protocol for the enzymatic synthesis of a complete set of nucleotides specifically deuterated at ribose carbons 氘化核苷酸作为RNA结构的化学探针:酶合成一整套核苷酸的详细方案,特别是在核糖碳上氘化
Pub Date : 2015-05-29 DOI: 10.14293/S2199-1006.1.SOR-LIFE.ALCJCN.V1
T. Tullius, S. Ingle, Robert N. Azad
We describe here a detailed protocol for the synthesis of ribonucleotides specifically deuterated at each ribose carbon atom. We synthesized 20 specifically deuterated ribonucleotides: ATP, CTP, GTP, and UTP, each of which contained one of five deuterated riboses (either 1′-D, 2′′-D, 3′-D, 4′-D, or 5′,5′′-D2). Our synthetic approach is inspired by the pioneering work of Tolbert and Williamson, who developed a method for the convenient one-pot enzymatic synthesis of nucleotides (Tolbert, T. J. and Williamson, J. R. (1996) J. Am. Chem. Soc. 118, 7929–7940). Our protocol consists of a comprehensive list of required chemical and enzymatic reagents and equipment, detailed procedures for enzymatic assays and nucleotide synthesis, and chromatographic procedures for purification of deuterated nucleotides. As an example of the utility of specifically deuterated nucleotides, we used them to synthesize specifically deuterated sarcin/ricin loop (SRL) RNA and measured the deuterium kinetic isotope effect on hydroxyl radical cleavage of the SRL. INTRODUCTION Nucleoside 5′-triphosphates (NTPs) in which the ribose is specifically deuterated are valuable in structural and biochemical studies of nucleic acids. They can be used, for example, to reduce the complexity of NMR spectra [1] and to discern mechanistic details of nucleic acid cleavage [2]. Such studies provide information not otherwise obtainable. For example, we used specifically deuterated deoxynucleotides to probe the mechanism of DNA cleavage by the hydroxyl radical [3]. The ability to chemically synthesize specifically deuterated DNA allowed us to determine quantitatively which hydrogen atoms of deoxyribose are abstracted by the hydroxyl radical from duplex DNA. This work both elucidated the chemical and structural mechanism of a widely used chemical footprinting agent and contributed to a more detailed understanding of ionizing radiation-induced DNA damage. Despite wide interest in the results of this work, the methods we described have seldom been used because of the difficulty of producing specifically deuterated NTPs by chemical synthesis [4]. Chemical routes to NTP synthesis require multiple steps that often are laborious and time-consuming. The consequence is that specifically deuterated nucleotides have been largely inaccessible to the structural and molecular biologists who would be most interested in using them. A breakthrough in making specifically deuterated nucleotides more widely available came from Williamson and coworkers, who developed an enzymatic approach for the synthesis of deuterated ribonucleoside 5′-triphosphates from isotopically labeled glycerol or glucose [5–7]. Their scheme was able to produce milligram quantities of NTPs sufficient for preparing RNA by in vitro transcription for use in NMR spectroscopy. They showed that the enzymes did not have to be highly purified to be effective, which significantly reduced the effort and cost of NTP synthesis. Their synthesis is conveni
我们在这里描述了合成核糖核苷酸的详细方案,特别是在每个核糖碳原子上氘化。我们合成了20种特殊的氘化核糖核苷酸:ATP, CTP, GTP和UTP,每个都含有五种氘化核糖(1 ' -D, 2 ' -D, 3 ' -D, 4 ' -D或5 ',5 " -D2)中的一种。我们的合成方法受到Tolbert和Williamson开创性工作的启发,他们开发了一种方便的一锅酶促核苷酸合成方法(Tolbert, T. J. and Williamson, J. R.(1996))。化学。Soc. 118, 7929-7940)。我们的方案包括所需的化学和酶试剂和设备的全面列表,酶分析和核苷酸合成的详细程序,以及氘化核苷酸纯化的色谱程序。作为特异性氘化核苷酸应用的一个例子,我们利用它们合成了特异性氘化sarcin/ricin loop (SRL) RNA,并测量了氘动力学同位素对SRL羟基自由基裂解的影响。核苷5 ' -三磷酸(NTPs),其中核糖被特异性氘化,在核酸的结构和生化研究中很有价值。例如,它们可用于降低核磁共振光谱的复杂性[1],以及辨别核酸裂解的机理细节[2]。这些研究提供了其他途径无法获得的信息。例如,我们使用特殊的氘化脱氧核苷酸来探索羟基自由基切割DNA的机制[3]。化学合成氘化DNA的能力使我们能够定量地确定哪些脱氧核糖的氢原子是由双链DNA中的羟基自由基提取出来的。这项工作不仅阐明了一种广泛使用的化学足迹剂的化学和结构机制,而且有助于更详细地了解电离辐射诱导的DNA损伤。尽管人们对这项工作的结果有广泛的兴趣,但我们所描述的方法很少被使用,因为通过化学合成难以生产特异性氘化的ntp[4]。化学途径到NTP合成需要多个步骤,往往是费力和耗时的。其结果是,对于那些对氘化核苷酸最有兴趣的结构和分子生物学家来说,它们在很大程度上是无法接近的。Williamson和他的同事开发了一种酶法,用同位素标记的甘油或葡萄糖合成氘化核糖核苷5 ' -三磷酸,在使氘化核苷更广泛地获得方面取得了突破[5 - 7]。他们的方案能够产生毫克量的ntp,足以通过体外转录制备RNA,用于核磁共振波谱。他们表明,酶不需要高度纯化就能有效,这大大减少了NTP合成的工作量和成本。它们的合成很方便,因为ntp是在涉及多种酶的“一锅”反应中产生的。Williamson和同事使用这种方法生产具有多个氘化核糖残基的ntp,因为他们在合成方案中使用了市售的均匀氘化葡萄糖或甘油[6,7]。虽然多次氘化的ntp对核磁共振实验很有用,但我们的早期工作[3]和其他人的工作[2]表明,在特定的脱氧核糖碳SOR-LIFE上选择性氘化
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引用次数: 0
Double Dipping in Hybrid Open Access – Chimera or Reality? 混合开放存取的双重尝试——幻想还是现实?
Pub Date : 2015-05-25 DOI: 10.14293/S2199-1006.1.SOR-SOCSCI.AOWNTU.V1
Bernhard Mittermaier
The pros and cons of hybrid open access are heavily disputed. A main point of discussion is whether ‘double dipping’ takes place, i.e. paying twice to publish and read the same article. To examine publishers’ assertions that they do not double dip, a survey was conducted of 24 publishers with detailed questions about their pricing policy using hypothetical examples of hybrid open access publication in their journals. The outcome is quite sobering: while a small number of publishers appear to be fully offsetting their hybrid open access income, or making no additional charge for hybrid open access at all, for the rest of those surveyed no clear evidence could be gathered that double dipping does not take place, and many appeared to be double dipping to some extent.
混合开放获取的利弊存在很大争议。讨论的一个主要问题是“双重收费”是否存在,即为发表和阅读同一篇文章支付两次费用。为了检验出版商关于他们没有二次探底的断言,对24家出版商进行了一项调查,并对他们的定价政策提出了详细的问题,并在他们的期刊中使用了假设的混合开放获取出版物的例子。结果相当令人警醒:虽然少数出版商似乎完全抵消了他们的混合开放获取收入,或者根本不收取混合开放获取的额外费用,但对于其余的受访者来说,没有明确的证据表明双重收费没有发生,而且许多出版商在某种程度上似乎是双重收费。
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引用次数: 15
Primary care in Caribbean Small Island Developing States 加勒比小岛屿发展中国家的初级保健
Pub Date : 2015-05-20 DOI: 10.14293/S2199-1006.1.SOR-MED.AVUQD7.V1
J. Kranenburg
Caribbean Small Island Developing States (SIDS) made good process on improving the health of their populations; but concerns exist when it comes to meeting changing health needs. Due to remoteness and limited resources it is difficult to respond to high rates of non-communicable diseases (NCDs). Furthermore, little is known about how primary care (PC) is organised and how this responds to current health issues. This study focused on gaining insights in the organisation of PC of Caribbean SIDS based on currently available literature. This literature review was an explorative multiple case study, where structure of PC and health status of 16 Caribbean SIDS were reviewed using available scientific and grey literature between the years 1997 and 2014. Thirty documents were used to analyse 20 indicators for the dimensions “Structure of Primary Care” and “Health Status”. Results were mapped in order to identify if there is a possible relation between structures of PC to the health of the populations. When reviewing the structure of PC, the majority of information was available for “Economic conditions of PC” (78%) and the least information was available for “Governance of PC” (40%). With regards to health status, all islands show improvements on “Life expectancy at birth” since 2007. In contrast, on average, the mortality due to NCDs did not improve. Saint Lucia performs best on “Structure of PC”. The British Virgin Islands have the best health status. When both dimensions were analysed, Saint Lucia performs best. There is still little known on the responsiveness of PC of Caribbean SIDS to NCDs. There is a need for elaborate research on: (1) If and how the functioning of these health systems relate to the health status; (2) What islands can learn from an analysis over time and what they can learn from cross-island analysis; and (3) Filling the gaps of knowledge which currently exist within this field of research. INTRODUCTION Small Island Developing States (SIDS) made good progress in achieving the Millennium Development Goals (MDGs). However, concerns exist regarding the health of the population of these islands, in particular, the Caribbean SIDS, who have transitioned from high communicable diseases region to an increasing prevalence of non-communicable diseases (NCDs). The prevalence of obesity in the Caribbean is amongst the highest of the world [1, 2]. The five-year evaluation of the Mauritius Strategy of Implementation (MSI+5) for the Caribbean showed that health standards have worsened for NCDs. Patients complain about the deterioration of quality of health services and there is an inability of health administrations to respond to changing needs of patients [1, 2]. In addition, health systems of SIDS face the persistent challenge of limited capacity and skills of health care workers due to emigration, the remoteness, the size and the economic opportunities [1–6]. Health is not solely evaluated within in the MSI and MSI+5. Health system performanc
加勒比小岛屿发展中国家在改善其人口健康方面取得了良好进展;但是,在满足不断变化的卫生需求方面存在担忧。由于地处偏远和资源有限,很难对非传染性疾病的高发率作出反应。此外,人们对初级保健(PC)是如何组织的以及它如何应对当前的健康问题知之甚少。这项研究的重点是在现有文献的基础上对加勒比小岛屿发展中国家的PC组织进行深入了解。本次文献审查是一项探索性多案例研究,利用1997年至2014年之间的现有科学文献和灰色文献,审查了16个加勒比小岛屿发展中国家的人口出生率结构和健康状况。使用了30份文件来分析"初级保健结构"和"健康状况"方面的20个指标。将结果绘制成地图,以确定PC结构与人群健康之间是否存在可能的关系。在审查个人电脑结构时,“个人电脑经济状况”的信息最多(78%),“个人电脑治理”的信息最少(40%)。关于健康状况,自2007年以来,所有岛屿的"出生时预期寿命"都有所改善。相比之下,非传染性疾病造成的死亡率平均没有改善。圣卢西亚在“PC结构”上表现最好。英属维尔京群岛的健康状况最好。在这两个方面进行分析时,圣卢西亚表现最好。关于加勒比小岛屿发展中国家对非传染性疾病的反应仍然知之甚少。有必要详细研究:(1)这些卫生系统的运作是否与健康状况有关,以及如何与健康状况有关;(2)岛屿可以从一段时间的分析中学到什么,它们可以从跨岛屿分析中学到什么;(3)填补这一研究领域目前存在的知识空白。小岛屿发展中国家在实现千年发展目标方面取得了良好进展。然而,人们对这些岛屿,特别是加勒比小岛屿发展中国家人口的健康感到关切,这些岛屿已从传染病高发区域过渡到非传染性疾病日益流行的区域。加勒比地区的肥胖患病率是世界上最高的[1,2]。对加勒比地区毛里求斯实施战略(MSI+5)的五年评价表明,非传染性疾病的卫生标准已经恶化。患者抱怨卫生服务质量下降,卫生管理部门无法对患者不断变化的需求作出反应[1,2]。此外,由于移民、偏远、规模和经济机会,小岛屿发展中国家的卫生系统面临着卫生保健工作者能力和技能有限的持续挑战[1-6]。健康不只是在MSI和MSI+5范围内进行评估。卫生系统的绩效和健康由泛美卫生组织(PAHO)进行评估和监测。泛美卫生组织试图通过“美洲卫生”报告的出版物评估基本公共卫生职能和报告卫生系统绩效,从而在区域上加强拉丁美洲国家的卫生系统[2,7,8]。尽管对卫生保健系统进行定期评估,但对事实组织及其与健康的关系进行的科学研究很少。重要的是要弄清楚该组织需要在多大程度上进行改革,以满足人口的“新”需求。在预防和治疗非传染性疾病的反应方面,初级保健是第一个接触点。因此,它在医疗保健系统中起着举足轻重的作用[9-11]。对于小岛屿发展中国家来说,由于地处偏远和资源有限,良好和有效的PC组织更加重要[1,12]。SOR-MED
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引用次数: 1
Female genital mutilation – why does it still exist in Africa? 女性生殖器切割——为什么在非洲仍然存在?
Pub Date : 2015-05-13 DOI: 10.14293/S2199-1006.1.SOR-MED.ACOXMI.V1
Annika Schmöker, Faustine-Kyungu Nkulu-Kalengayi
AbstractFemale genital mutilation (FGM) includes all procedures that involve partial or total removal of the external female genitalia for non-medical reasons. FGM is practised in many parts of the world – including 28 African countries, some countries in the Middle East and Asia, and some population groups in Central and South America. Its prevalence rates range from 0.6% up to 97.9%, and it has been classified as a violation of human and children’s rights. Consequently, several countries have passed laws against the practice and many international programmes have been implemented to abandon it. Yet, FGM still prevails in many countries. This literature review aimed at identifying the underlying reasons for the perpetuation of FGM, ascertaining forces that foster its promotion and persistence and who is responsible for pushing its continuation. The main goal was to try to understand the underlying causes that make FGM resistant against initiatives and campaigns targeting its elimination. A literature search was carried out using several databases. All sources that approached the topic of FGM were incorporated including literature reviews, systematic reviews, qualitative and quantitative as well as mixed-method studies that described attitudes towards FGM and factors associated with its practice. Different factors that were interlinked could be identified at the individual, interpersonal, organisational/institutional as well as the community/societal level as the underlying causes of the perpetuation for FGM. These factors varied within and between different settings, and include individual characteristics such as parents’ level of education, place of residence, personal beliefs (aesthetics, health benefits, hygiene) about FGM as well as the medicalisation of FGM and the involvement of health care professionals at the institutional level. Cultural factors like gender inequality, social norms and pressure also played an important role. Surprisingly, no evidence that supported religious motives could be found in any of the three monotheistic religions. This review suggests that the reasons behind the performance of FGM differ between and within countries and contexts, but cannot be found in the scriptures even though it is mainly practiced by Muslims. Girls with low education living in small Muslim communities, in rural areas in Africa and whose parents especially the mother had a low educational level, were at increased risk of undergoing FGM. Successful actions to eliminate this practice require a balance between respect of culture and human rights. Practising communities should be involved in each step of every programme. Finally, it is crucial to target the young generations through education, women empowerment and reduction of gender inequality.
【摘要】女性生殖器切割(FGM)包括因非医学原因部分或全部切除女性外生殖器的所有手术。世界上许多地方都存在切割女性生殖器的做法,包括28个非洲国家、中东和亚洲的一些国家以及中美洲和南美洲的一些人口群体。它的流行率从0.6%到97.9%不等,它被列为侵犯人权和儿童权利。因此,一些国家通过了反对这种做法的法律,并实施了许多国际方案来放弃这种做法。然而,切割女性生殖器官在许多国家仍然盛行。本文献综述旨在确定女性生殖器切割长期存在的根本原因,确定促进和坚持这种做法的力量,以及谁应该对推动这种做法的继续负责。主要目标是试图了解使女性生殖器切割对旨在消除这一做法的倡议和运动产生抵制的根本原因。使用几个数据库进行文献检索。与女性生殖器切割有关的所有来源都被纳入其中,包括文献综述、系统综述、定性和定量研究以及混合方法研究,这些研究描述了对女性生殖器切割的态度以及与这种做法有关的因素。可以在个人、人际、组织/机构以及社区/社会各级确定相互关联的不同因素,作为长期存在的女性生殖器切割的根本原因。这些因素在不同的环境内部和环境之间各不相同,包括个人特征,如父母的教育水平、居住地、对女性生殖器切割的个人信仰(美学、健康益处、卫生)以及女性生殖器切割的医疗化和医疗保健专业人员在机构一级的参与。性别不平等、社会规范和压力等文化因素也发挥了重要作用。令人惊讶的是,在三种一神论宗教中,没有任何证据支持宗教动机。这一审查表明,实施女性生殖器切割背后的原因在国家和背景之间和内部有所不同,但在经文中找不到,即使主要是穆斯林实施的。生活在非洲农村地区小型穆斯林社区的受教育程度较低的女孩,其父母特别是母亲受教育程度较低,遭受女性外阴残割的风险更大。消除这种做法的成功行动需要在尊重文化和人权之间取得平衡。实践社区应参与每项规划的每一步。最后,必须通过教育、赋予妇女权力和减少性别不平等来针对年轻一代。
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引用次数: 0
Disrupting the subscription journals’ business model for the necessary large-scale transformation to open access 打破订阅期刊的商业模式,向开放获取进行必要的大规模转型
Pub Date : 2015-04-28 DOI: 10.17617/1.3
Ralf Schimmer, K. Geschuhn, A. Vogler
AbstractThis paper makes the strong, fact-based case for a large-scale transformation of the current corpus of scientific subscription journals to an open access business model. The existing journals, with their well-tested functionalities, should be retained and developed to meet the demands of 21st-century research, while the underlying payment streams undergo a major restructuring. There is sufficient momentum for this decisive push toward open access publishing. The diverse existing initiatives must be coordinated so as to converge on this clear goal. The international nature of research implies that this transformation will be achieved on a truly global scale only through a consensus of the world’s most eminent research organizations. All the indications are that the money already invested in the research publishing system is sufficient to enable a transformation that will be sustainable for the future. There needs to be a shared understanding that the money currently locked in the journal subscription system must be withdrawn and re-purposed for open access publishing services. The current library acquisition budgets are the ultimate reservoir for enabling the transformation without financial or other risks. The goal is to preserve the established service levels provided by publishers that are still requested by researchers, while redefining and reorganizing the necessary payment streams. By disrupting the underlying business model, the viability of journal publishing can be preserved and put on a solid footing for the scholarly developments of the future.
摘要本文提出了一个强有力的、基于事实的案例,将当前的科学订阅期刊语料库大规模转变为开放获取的商业模式。现有的期刊应该保留和发展,以满足21世纪研究的需求,而基础的支付流则要进行重大重组。有足够的动力推动开放获取出版。必须协调现有的各种各样的倡议,以便集中于这一明确的目标。研究的国际性意味着,只有通过世界上最杰出的研究组织达成共识,才能在真正的全球范围内实现这种转变。所有的迹象都表明,已经投入研究出版系统的资金足以实现未来可持续发展的转型。我们需要达成一个共识,那就是目前锁定在期刊订阅系统中的资金必须被提取出来,并重新用于开放获取出版服务。目前的图书馆采办预算是实现转型而没有财务或其他风险的最终储备。其目标是在重新定义和重组必要的付费流的同时,保留研究人员仍然要求的出版商提供的既定服务水平。通过颠覆潜在的商业模式,期刊出版的生存能力得以保留,并为未来的学术发展奠定坚实的基础。
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引用次数: 169
Organocatalysts for enantioselective synthesis of fine chemicals: definitions, trends and developments 精细化学品对映选择性合成的有机催化剂:定义、趋势和发展
Pub Date : 2015-03-26 DOI: 10.14293/S2199-1006.1.SOR-CHEM.AGZIIB.V2
Shouyun Yu
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引用次数: 0
Twin pregnancy in each half of a didelphys uterus with delayed delivery and review of literature 双胎妊娠在每半双胎子宫延迟分娩和文献回顾
Pub Date : 2015-03-26 DOI: 10.14293/S2199-1006.1.SOR-MED.ASNJHF.V1
Ramanah Rajeev, Eckman, Tholozan Anne-Sarah, M. Fourel, Levy Galya, N. Mottet, D. Riethmuller
Didelphys uterus results from an incomplete fusion of mullerian ducts and corresponds to the class III of mullerian abnormalities of the American Fertility Society. We describe the case of a spontaneous twin pregnancy developed in each cavity of a didelphys uterus. At 29 weeks of gestation and 6 days, the patient had preterm rupture of membranes in the right horn. She went into spontaneous labor and delivered vaginally the first “right” twin. Delivery was complicated with post-partum hemorrhage on uterine atonia treated with a Bakri balloon. She was tocolyzed to pursue the fetal lung maturity of the second twin. She had a rupture of the second membranes at 30 weeks and 3 days and had a preterm vaginal delivery at 32 weeks and 1 day of the second twin. Twin pregnancy in both horns of a uterus is extremely rare, about 1 in 1,000,000. Pregnancies on congenital abnormalities of the paramesonephric duct present frequently poor obstetrical outcomes and many complications. There are no guidelines about the follow-up of these high-risk patients or the mode of delivery. INTRODUCTION Didelphys uterus results from a complete failure of fusion of the two mullerian ducts in the female genital tract formation during the embryonic development. There is then two hemiuterus, each one with a uterine cavity, two cervices, and a vaginal septum. Twin pregnancies with a fetus in each cavity are extremely rare, approximately 1 in 1,000,000. We describe the case of a spontaneous twin pregnancy developed in each cavity of a didelphys uterus, with a premature vaginal delivery, and a delayed interval delivery of 16 days between the two twins. CASE The 26-year-old woman, gravida 2, para 0 has a bicornis bicollis uterus with a vaginal septum and initially an imperforated obstructed hemivagina on the right side which was diagnosed at the age of 14 following chronic pelvic pain. She had a vaginal septum resection at the age of 25. Diagnosis of an evolutive dichorionic diamniotic twin pregnancy with a fetus in each horn of the uterus was made on ultrasound at 8-week gestation (Figure 1). By convention, we named TA the fetus in the right horn, and TB the fetus in the left horn. This situation being of high risk of premature delivery, the patient was monthly followed by a clinical and sonographic evaluation. At 25 weeks, fetal lung maturation was undertaken by an injection of 12 mg of betamethasone repeated 24 hours later. She had a premature rupture of the membranes on TA at 29 weeks and 6 days. On digital cervical examination the right cervix was posterior, short, soft, admitting one finger, and the right fetus cephalic presentation was high and mobile (Bishop score = 3). The left cervix was the same as the right one. Speculum examination Figure 1. Ultrasound at eight gestational weeks. SOR-MED
Didelphys子宫是由缪勒管不完全融合引起的,符合美国生育学会的缪勒管异常III类。我们描述了一个自发的双胎妊娠发展在每一个腔的双胎子宫的情况。妊娠29周6天,患者出现右角胎膜早破。她顺产,顺产了第一个“右”双胞胎。分娩并发产后出血,子宫张力不全用巴克利球囊治疗。她接受了低温治疗,以观察双胞胎老二的胎儿肺成熟度。她在第30周零3天发生第二胎膜破裂,在第2胎32周零1天发生阴道早产。双胎妊娠在子宫的两个角是极其罕见的,大约是一百万分之一。先天性肾旁管异常的妊娠通常表现为不良的产科结果和许多并发症。没有关于这些高危患者的随访或分娩方式的指导方针。Didelphys子宫是胚胎发育过程中女性生殖道形成过程中两条苗勒管完全融合失败的结果。然后有两个半子宫,每个半子宫都有一个子宫腔,两个子宫颈和一个阴道隔。双胎妊娠,每个腔内都有胎儿是极其罕见的,大约是百万分之一。我们描述了一个自发的双胞胎怀孕的情况下发展的每一个腔的双胎子宫,阴道早产,并延迟间隔交付16天之间的两个双胞胎。病例:26岁女性,妊娠2期,第0段,子宫双角双颈伴阴道间隔,最初右侧半阴道未穿孔梗阻,14岁时诊断为慢性盆腔疼痛。她在25岁时做了阴道间隔切除术。我们在妊娠8周时通过超声诊断出了一个进化的双绒毛膜双羊膜双胎妊娠,子宫的每个角都有一个胎儿(图1)。按照惯例,我们将TA命名为右角的胎儿,TB命名为左角的胎儿。这种情况是早产的高风险,患者每月随访临床和超声评估。在25周时,通过24小时后重复注射12mg倍他米松进行胎儿肺成熟。她在29周零6天时TA出现胎膜早破。指宫颈检查右宫颈后,短,软,收一指,右胎儿头位高,可移动(Bishop评分= 3)。左宫颈与右宫颈相同。图1。孕八周超声检查。SOR-MED
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引用次数: 3
The role of PEG conformation in mixed layers: from protein corona substrate to steric stabilization avoiding protein adsorption 聚乙二醇构象在混合层中的作用:从蛋白质冠底物到空间稳定避免蛋白质吸附
Pub Date : 2015-03-23 DOI: 10.14293/S2199-1006.1.SOR-MATSCI.A0Z6OM.V1
Joan Comenge
Although nanoparticles have been traditionally modified with a single ligand layer, mixture of ligands might help to combine different functionalities and to further engineer the NP surface. A detailed study of the competition between an alkanethiol (11-mercaptoundecanoic acid) and SH-PEG for the surface of AuNPs and the resultant behaviors of this model nanoconjugate is presented here. As a result, the physicochemical properties of these conjugates can be progressively tuned by controlling the composition and especially the conformation of the mixed monolayer. This has implications in the physiological stability. The controlled changes on the SH-PEG conformation rather than its concentration induces a change in the stabilization mechanism from electrostatic repulsion to steric hindrance, which changes the biological fate of NPs. Importantly, the adsorption of proteins on the conjugates can be tailored by tuning the composition and conformation of the mixed layer.
虽然纳米颗粒传统上是用单一配体层修饰的,但配体的混合物可能有助于组合不同的功能,并进一步设计NP表面。本文详细研究了烷硫醇(11-巯基十四酸)和SH-PEG之间对AuNPs表面的竞争以及由此产生的模型纳米共轭物的行为。因此,这些共轭物的物理化学性质可以通过控制混合单层的组成,特别是构象来逐步调整。这与生理稳定性有关。SH-PEG构象(而非其浓度)的可控变化导致稳定机制由静电斥力向位阻转变,从而改变了NPs的生物学命运。重要的是,可以通过调整混合层的组成和构象来调整蛋白质在共轭物上的吸附。
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引用次数: 13
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ScienceOpen research
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