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1.
Dalton Trans ; 46(21): 7051-7060, 2017 May 30.
Article in English | MEDLINE | ID: mdl-28516988

ABSTRACT

The new aminoalcohol phenol 2,4-di-tert-butyl-6-(((2-hydroxy-2-phenylethyl)amino)methyl)phenol (H2L) was prepared by a facile solvent-free synthesis and used as a tridentate ligand for new cis-dioxomolybdenum(vi)(L) complexes. In the presence of a coordinating solvent (DMSO, MeOH, pyridine), the complexes crystallise as monomeric solvent adducts while in the absence of such molecules, a trimer with asymmetric Mo[double bond, length as m-dash]O→Mo bridges crystallises. The complexes can catalyse epoxidation of cis-cyclooctene and sulfoxidation of methyl-p-tolylsulfide, using tert-butyl hydroperoxide as oxidant.

2.
Dalton Trans ; 44(20): 9409-16, 2015 May 28.
Article in English | MEDLINE | ID: mdl-25914124

ABSTRACT

Dioxotungsten(vi) complexes with tetradentate amino bisphenolates were converted into the corresponding Cs-symmetric amino bisphenolate disulphido complexes by a reaction with either Lawesson's reagent or P2S5. Further reaction with diethyl acetylenedicarboxylate leads to the formation of diamagnetic tungsten(iv) dithiolene compounds. The syntheses, crystal structures, spectroscopic and electrochemical characterization of such disulphido and dithiolene complexes are presented.


Subject(s)
Hydroxybenzoates/chemistry , Organometallic Compounds/chemistry , Sulfides/chemistry , Tungsten/chemistry , Electrochemistry , Models, Molecular , Molecular Conformation , Organometallic Compounds/chemical synthesis , Oxides/chemistry
3.
Dalton Trans ; 43(37): 14022-8, 2014 Oct 07.
Article in English | MEDLINE | ID: mdl-25117739

ABSTRACT

The reaction of VO(acac)2 (acac(-) = acetyl acetonate) with tripodal glycine bisphenol H3L(1) under an ambient atmosphere yields a hexacoordinated vanadium(iv) complex [V(acac)(L(1))] (1). The corresponding reactions with tripodal 2-propanolamine bisphenol H3L(2) and potentially pentadentate ethoxyethanolamine bisphenol H3L(3) lead to the oxidation of the metal centre and formation of mononuclear oxovanadium(v) complexes [VO(L(2))] (2) and [VO(L(3))] (3), respectively. Alternatively, these latter two complexes can be prepared using VOSO4·5H2O or VO(OPr)3 as a precursor. The CV of 1 in an ACN solution shows a reversible one-electron process at E1/2 = +1.18 V, whereas 2 and 3 have an irreversible redox response at -1.6 V and -1.2 V, respectively. Complexes 2 and 3 show moderate activity in the epoxidation of cis-cyclooctene by tert-BuOOH at 50 °C.

4.
Eur Psychiatry ; 26(2): 112-4, 2011 Mar.
Article in English | MEDLINE | ID: mdl-21036551

ABSTRACT

Data from psychiatric research frequently exhibit departures from Normality. Methods which utilise the data optimally to model the distribution directly are available. We highlight the issue of modelling skewness, resulting from screening instruments where the majority of respondents are healthy individuals and few participants have a value reflecting particular disorders.


Subject(s)
Mass Screening/methods , Mental Disorders/classification , Mental Disorders/diagnosis , Models, Psychological , Humans , Likelihood Functions , Mental Disorders/epidemiology , Mentally Ill Persons/statistics & numerical data , Normal Distribution , Reference Values , United Kingdom
5.
Int J Stroke ; 4(5): 340-5, 2009 Oct.
Article in English | MEDLINE | ID: mdl-19765121

ABSTRACT

BACKGROUND: It is well known that increasing age is the strongest risk factor of stroke. Therefore, it has been a common belief in many countries including Finland that the numbers of stroke patients will increase considerably during the next two decades because the population is rapidly ageing. METHODS: The FINMONICA and FINSTROKE registers operated in Finland in the Kuopio area and city of Turku from 1983 to 1997. The results showed that the incidence, mortality and case fatality of stroke declined significantly during that period. Importantly, it was established that the trends in incidence and mortality were also declining among the elderly (>74 years). We used these results to create a model for the entire country. The model was based on the trends present in these registers from Turku and Kuopio area and age-specific population projections up to the year 2030 that were obtained from Statistics Finland. RESULTS: In the year 2000, the number of new first stroke cases was estimated to be 11 500. If the declining trend were to level off totally after the year 2000, the number of new strokes would be 20 100 in the year 2030 due to the ageing of the population. It would be 12 100 if the trend continued as favourable as during the years 1983-1997. CONCLUSIONS: Ageing of the population will not inevitably increase the burden of stroke in Finland if the present declining trends are maintained, but the annual number of cases will almost double if the incidence remains at the level of the year 2000.


Subject(s)
Aging/physiology , Cost of Illness , Stroke , Adult , Age Distribution , Age Factors , Aged , Aging/pathology , Female , Finland/epidemiology , Humans , Incidence , Life Tables , Linear Models , Male , Middle Aged , Models, Theoretical , Population Dynamics , Population Surveillance , Risk Factors , Sex Factors , Stroke/diagnosis , Stroke/epidemiology , Stroke/prevention & control
6.
Int J Cardiol ; 124(1): 72-9, 2008 Feb 20.
Article in English | MEDLINE | ID: mdl-17383028

ABSTRACT

OBJECTIVE: To analyse the risk of coronary heart disease (CHD) events and total mortality among patients who had coronary artery bypass graft (CABG) surgery during 1988-1992. METHODS: A population-based myocardial infarction (MI) register included data on invasive cardiac procedures among residents of the study area. The subjects aged 35-64 years were followed-up for 12 years for non-fatal and fatal CHD events and all-cause mortality, excluding events within 30 days of the CABG operation. CABG was performed on 1158 men and 215 women. RESULTS: The overall survival of men who underwent CABG was similar to the survival of the corresponding background population for about ten years but started to worsen after that. At twelve years of follow-up, 23% (n=266, 95% CI 234-298) of the men who had undergone the operation had died, while the expected proportion, based on mortality in the background population, was 20% (n=231, 95% CI 226-237). The CHD mortality of men who had undergone the operation was clearly higher than in the background population. Among women, the mortality after CABG was about twice the expected mortality in the corresponding background population. In Cox proportional hazards models age, smoking, history of MI, body mass index and diabetes were significant predictors of mortality. CONCLUSIONS: The prognosis of male CABG patients did not differ from the prognosis of the corresponding background population for about ten years, but started to deteriorate after that. History of MI prior to CABG and major cardiovascular risk factors was a predictor of an adverse outcome.


Subject(s)
Coronary Artery Bypass , Myocardial Infarction/surgery , Adult , Age Factors , Body Mass Index , Cause of Death , Coronary Artery Bypass/mortality , Diabetes Complications/mortality , Female , Finland/epidemiology , Follow-Up Studies , Humans , Male , Middle Aged , Myocardial Infarction/mortality , Poisson Distribution , Population Surveillance , Prognosis , Proportional Hazards Models , Registries , Risk Factors , Sex Factors , Smoking/adverse effects , Survival Rate
7.
Diabetologia ; 48(12): 2519-24, 2005 Dec.
Article in English | MEDLINE | ID: mdl-16247597

ABSTRACT

AIMS/HYPOTHESIS: We compared the risk of acute coronary events in diabetic and non-diabetic persons with and without prior myocardial infarction (MI), stratified by age and sex. METHODS: A Finnish MI-register study known as FINAMI recorded incident MIs and coronary deaths (n=6988) among people aged 45 to 74 years in four areas of Finland between 1993 and 2002. The population-based FINRISK surveys were used to estimate the numbers of persons with prior diabetes and prior MI in the population. RESULTS: Persons with diabetes but no prior MI and persons with prior MI but no diabetes had a markedly greater risk of a coronary event than persons without diabetes and without prior MI. The rate of recurrent MI among non-diabetic men with prior MI was higher than the incidence of first MI among diabetic men aged 45 to 54 years. The rate ratio was 2.14 (95% CI 1.40-3.27) among men aged 50. Among elderly men, diabetes conferred a higher risk than prior MI. Diabetic women had a similar risk of suffering a first MI as non-diabetic women with a prior MI had for suffering a recurrent MI. CONCLUSIONS/INTERPRETATION: Both persons with diabetes but no prior MI, and persons with a prior MI but no diabetes are high-risk individuals. Among men, a prior MI conferred a higher risk of a coronary event than diabetes in the 45-54 year age group, but the situation was reversed in the elderly. Among diabetic women, the risk of suffering a first MI was similar to the risk that non-diabetic women with prior MI had of suffering a recurrent MI.


Subject(s)
Diabetes Mellitus/epidemiology , Diabetic Angiopathies/complications , Diabetic Angiopathies/epidemiology , Myocardial Infarction/complications , Myocardial Infarction/epidemiology , Age Factors , Aged , Diabetic Angiopathies/mortality , Female , Finland/epidemiology , Humans , Incidence , Male , Middle Aged , Myocardial Infarction/mortality , Recurrence , Registries , Regression Analysis , Risk Factors , Sex Factors
8.
Diabet Med ; 22(10): 1334-7, 2005 Oct.
Article in English | MEDLINE | ID: mdl-16176192

ABSTRACT

AIM: To investigate the incidence of clinical diabetes as determined by the incidence of diabetes drug reimbursements within a 5-year period after the first myocardial infarction (MI) in patients who were non-diabetic at the time of their first MI. RESEARCH DESIGN AND METHODS: A population-based MI register, FINMONICA/FINAMI, recorded all coronary events in persons of 35-64 years of age between 1988 and 2002 in four study areas in Finland. These records were used to identify subjects sustaining their first MI (n = 2632). Participants of the population-based risk factor survey FINRISK (surveys 1987, 1992, 1997 and 2002), who did not have diabetes or a history of MI, served as the control group (n = 7774). The FINMONICA/FINAMI study records were linked with the National Social Security Institute's drug reimbursement records, which include diabetes medications, using personal identification codes. The records were used to identify subjects who developed diabetes during the 5-year follow-up period (n = 98 in the MI group and n = 79 in the control group). RESULTS: Sixteen per cent of men and 20% of women sustaining their first MI were known to have diabetes and thus were excluded from this analysis. Non-diabetic men having a first MI were at more than twofold {hazard ratio (HR) 2.3 [95% confidence interval (CI) 1.6-3.4]}, and women fourfold [HR 4.3 (95% CI 2.4-7.5)], risk of developing diabetes mellitus during the next 5 years compared with the control population without MI. CONCLUSIONS: Many patients who do not have diabetes at the time of their first MI develop diabetes in the following 5 years.


Subject(s)
Diabetes Mellitus/etiology , Myocardial Infarction/complications , Adult , Diabetes Mellitus/drug therapy , Diabetes Mellitus/epidemiology , Female , Finland/epidemiology , Follow-Up Studies , Humans , Hypoglycemic Agents/therapeutic use , Incidence , Male , Middle Aged , Population Surveillance/methods , Risk Factors
9.
Circulation ; 108(6): 691-6, 2003 Aug 12.
Article in English | MEDLINE | ID: mdl-12885751

ABSTRACT

BACKGROUND: Out-of-hospital deaths constitute the majority of all coronary heart disease (CHD) deaths and are therefore of considerable public health significance. METHODS AND RESULTS: We used population-based myocardial infarction register data to examine trends in out-of-hospital CHD deaths in Finland during 1983 to 1997. We included in out-of-hospital deaths also deaths in the emergency room and all deaths within 1 hour after the onset of symptoms. Altogether, 3494 such events were included in the analyses. The proportion of out-of-hospital deaths of all CHD deaths depended on age and gender. In the age group 35 to 64 years, it was 73% among men and 60% among women. These proportions did not change during the study. The annual average decline in the age-standardized out-of-hospital CHD death rate was 6.1% (95% CI, -7.3, -5.0%) among men and 7.0% (-10.0, -4.0%) among women. These declines contributed among men 70% and among women 58% to the overall decline in CHD mortality rate. In all, 58% of the male and 52% of the female victims of out-of-hospital CHD death had a history of symptomatic CHD. Among men with a prior history of myocardial infarction, the annual average decline in out-of-hospital CHD deaths was 5.3% (-7.2, -3.2%), and among men without such history the decline was 2.9% (-4.4, -1.5%). Among women, the corresponding changes were -7.8% (-14.2, -1.5%) and -4.5% (-8.0, -1.0%). CONCLUSIONS: The decline in out-of-hospital CHD deaths has contributed the main part to the overall decline in CHD mortality rates among persons 35 to 64 years of age in Finland.


Subject(s)
Coronary Disease/mortality , Adult , Age Distribution , Female , Finland/epidemiology , Humans , Male , Middle Aged , Mortality/trends , Registries/statistics & numerical data , Sex Distribution
10.
Eur Heart J ; 24(4): 311-9, 2003 Feb.
Article in English | MEDLINE | ID: mdl-12581678

ABSTRACT

AIMS: To analyse the trends in incidence, recurrence, case fatality, and treatments of acute coronary events in Finland during the 15-year period 1983-97. METHODS AND RESULTS: Population-based MI registration has been carried out in defined geographical areas, first as a part of the FINMONICA Project and then continued as the FINAMI register. During the study period, 6501 coronary heart disease (CHD) events were recorded among men and 1778 among women aged 35-64 years. The CHD mortality declined on average 6.4%/year (95% confidence interval -5.4, -7.4%) among men and 7.0%/year (-4.7, -9.3%) among women. The mortality from recurrent events declined even more steeply, 9.9%/year (-8.3, -11.4%) among men and 9.3%/year (-5.1, -13.4%) among women. The proportion of recurrent events of all CHD events also declined significantly in both sexes. Of all coronary deaths, 74% among men and 61% among women took place out-of-hospital. The decline in 28-day case fatality was 1.3%/year (-0.3, -2.3%) among men and 3.1%/year (-0.7, -5.5%) among women. CONCLUSIONS: The study period was characterized by a marked reduction in the occurrence of recurrent CHD events and a relatively modest reduction in the 28-day case fatality. The findings suggest that primary and secondary prevention have played the main roles in the decline in CHD mortality in Finland.


Subject(s)
Coronary Disease/mortality , Adult , Female , Finland/epidemiology , Humans , Male , Middle Aged , Mortality/trends , Myocardial Revascularization/statistics & numerical data , Recurrence , Registries , Sex Distribution , Thrombolytic Therapy/statistics & numerical data
11.
Inorg Chem ; 40(23): 6047-51, 2001 Nov 05.
Article in English | MEDLINE | ID: mdl-11681924

ABSTRACT

Coordinated phenoxide groups in [W(eg)(2)(mephe)(2)] (2a) and [W(eg)(2)(prphe)(2)] (2c) (eg = ethanediolate dianion; mephe = OC(6)H(3)Me(2)-2,6; prphe = OC(6)H(3)(i)Pr(2)-2,6) undergo reaction with Br(2), leading to substitution at the para position of the phenyl rings and formation of the complexes [W(eg)(2)(OC(6)H(2)R(2)-2,6-Br-4)(2)] (2b, R = Me; 2d, R = (i)Pr). The reaction of complexes 2a-2d and [W(eg)(2)(buphe)(2)] (2e) (buphe = OC(6)H(3)tBu(2)-2,4) with HCl leads to the displacement of one bidentate diolato ligand from the complex unit and formation of the corresponding trans dichloro diolato bis(phenoxide) tungsten(VI) complex [WCl(2)(eg)(OAr)(2)] (3). The X-ray crystal structure determinations of these compounds confirmed that all complexes 3 have a similar gross structure in which the chloro ligands are arranged at trans positions.

12.
J Hepatol ; 33(5): 764-72, 2000 Nov.
Article in English | MEDLINE | ID: mdl-11097485

ABSTRACT

BACKGROUND/AIM: Interferon(IFN)-alpha alone or combined with other antiviral substances has been extensively used for the treatment of viral infections of the liver. Since the molecular mechanisms of IFN action in liver cells are relatively poorly characterized, we studied IFN-induced gene expression and signaling in human hepatoma, HepG2 and HuH7 cell lines. METHODS/RESULTS: IFN binding to its specific cell surface receptor leads to activation of the Janus family tyrosine kinase (JAK) - signal transducer and activator of transcription (STAT) pathway. We observed that in HepG2 and HuH7 cells IFN-inducible genes were upregulated by IFNs, but relatively high concentrations of IFN-alpha were needed to turn on MxA (an antiviral gene) and MxB gene expression. The basal expression of IFN-alpha receptor (IFNAR1 and IF-NAR2) JAK1 and TYK2 mRNAs was readily detectable, and their expression was not significantly altered by treatment with either IFN-alpha or IFN-gamma. Hepatoma cells possessed relatively low basal expression levels of IFN signaling molecules STAT1, STAT2 and p48, but their expression was strongly upregulated by both types of IFNs. Pretreatment of HepG2 or HuH7 with low IFN-gamma doses, followed by stimulation with IFN-alpha, resulted in a marked enhancement of the formation of IFN-alpha-specific signaling complex ISGF3. CONCLUSION: The results indicate positive feedback mechanisms in the IFN signaling system in hepatoma cells.


Subject(s)
GTP-Binding Proteins , Gene Expression Regulation/drug effects , Interferon-alpha/pharmacology , Interferon-gamma/pharmacology , Liver/metabolism , Animals , DNA-Binding Proteins/genetics , Dose-Response Relationship, Drug , Humans , Janus Kinase 1 , Myxovirus Resistance Proteins , Protein-Tyrosine Kinases/genetics , Proteins/genetics , RNA, Messenger/analysis , Rabbits , Receptor, Interferon alpha-beta , Receptors, Interferon/genetics , STAT1 Transcription Factor , STAT2 Transcription Factor , Trans-Activators/genetics , Tumor Cells, Cultured
13.
Virology ; 276(1): 138-47, 2000 Oct 10.
Article in English | MEDLINE | ID: mdl-11022002

ABSTRACT

Chemokines regulate leukocyte traffic and extravasation into the site of inflammation. Here we show that influenza A- or Sendai virus-infected human macrophages produce MIP-1alpha, MIP-1beta, RANTES, MCP-1, MCP-3, MIP-3alpha, IP-10, and IL-8, whereas no upregulation of MIP-3beta, eotaxin, or MDC production was detected. Influenza A virus was a better inducer of MCP-1 and MCP-3 production than Sendai virus, whereas MIP-1alpha, MIP-1beta, RANTES, MIP-3alpha, and IL-8 were induced preferentially by Sendai virus. Infection in the presence of protein synthesis inhibitor indicated that ongoing protein synthesis was required for influenza A virus-induced expression of MCP-1, MCP-3, and IP-10 genes, whereas Sendai virus-induced chemokine mRNA expression took place in the absence of de novo protein synthesis. Neutralization of virus-induced IFN-alpha/beta resulted in downregulation of virus-induced IP-10, MCP-1, and MCP-3 mRNA expression. IFN-alpha or IFN-gamma were found to directly enhance MCP-1, MCP-3, and IP-10 mRNA expression. Both influenza A and Sendai viruses similarly activated transcription factor NF-kappaB. In contrast to NF-kappaB, IRFs and STATs, the other transcription factors involved in the regulation of chemokine gene expression, were differentially activated by these viruses. Influenza A virus more efficiently activated ISGF3 complex formation and Stat1 DNA-binding compared to Sendai virus, which in turn was a more potent activator of IRF-1. Our results show that during viral infections macrophages predominantly produce monocyte and Th1 cell attracting chemokines. Furthermore, virus-induced IFN-alpha/beta enhanced chemokine gene expression in macrophages emphasizing the role of IFN-alpha/beta in the development of Th1 immune responses.


Subject(s)
Chemokines/genetics , Gene Expression Regulation , Influenza A virus/physiology , Macrophages/metabolism , Respirovirus/physiology , Cells, Cultured , Cycloheximide/pharmacology , DNA/metabolism , DNA-Binding Proteins/metabolism , Humans , Interferon Regulatory Factor-1 , Interferons/pharmacology , Macrophages/virology , Phosphoproteins/metabolism , RNA, Messenger/analysis , STAT1 Transcription Factor , Trans-Activators/metabolism
14.
Arch Gerontol Geriatr ; 31(1): 43-53, 2000 Aug 01.
Article in English | MEDLINE | ID: mdl-10989163

ABSTRACT

This paper aims at studying the development and the risk factors for stroke prospectively during a 6-year follow-up in the Turku Elderly Study, Turku, Finland. The study cohort consisted of 1032 people aged 70 years at baseline. The stroke events (ICD-9 codes 430-434) were identified by computer linkage from the hospital discharge and death registers, and from a follow-up questionnaire. During the 6 years of follow-up, 71 patients (6.9%) suffered a stroke. Previous stroke (RR 5.82), history of transient ischemic attack (RR 4.14), diabetes mellitus (RR 2.50), poorly controlled hypertension (RR 2.42), smoking (RR 1.94) and male sex (RR 1.65) were independent risk factors for stroke. Atrial fibrillation, cardiac failure and previous myocardial infarction did not appear to be significant independent predictors of stroke in the elderly. The risk of stroke in the elderly population appears to be strongly related to the concomitant clinical disease, and this should be remembered when identifying persons at increased risk of stroke. Poorly controlled hypertension was associated with an increased risk of stroke. Thus, achieving a good control of blood pressure in elderly hypertensives receiving treatment has the potential to prevent strokes.

15.
J Immunol ; 164(7): 3733-40, 2000 Apr 01.
Article in English | MEDLINE | ID: mdl-10725732

ABSTRACT

Gram-positive bacteria induce the production of several cytokines in human leukocytes. The molecular mechanisms involved in Gram-positive bacteria-induced cytokine production have been poorly characterized. In this work we demonstrate that both nonpathogenic Lactobacillus rhamnosus GG and pathogenic Streptococcus pyogenes (group A streptococci) induce NF-kappa B and STAT DNA-binding activity in human primary macrophages as analyzed by EMSA. NF-kappa B activation was rapid and was not inhibited by a protein synthesis inhibitor cycloheximide, suggesting that these bacteria could directly activate NF-kappa B. STAT1, STAT3, and IFN regulatory factor-1 DNA binding was induced by both bacteria with delayed kinetics compared with NF-kappa B. In addition, streptococci induced the formation of IFN-alpha-specific transcription factor complex and IFN-stimulated gene factor-3 (ISGF3). STAT1 and STAT3 activation and ISGF3 complex formation were inhibited by cycloheximide or by neutralization with IFN-alpha/beta-specific Abs. Streptococci were more potent than lactobacilli in inducing STAT1, ISGF3, and IFN regulatory factor-1 DNA binding. Accordingly, only streptococci induced IFN-alpha production. The activation of the IFN-alpha signaling pathway by streptococci could play a role in the pathogenesis of these bacteria. These results indicate that extracellular Gram-positive bacteria activate transcription factors involved in cytokine signaling by two mechanisms: directly, leading to NF-kappa B activation, and indirectly via cytokines, leading to STAT activation.


Subject(s)
DNA-Binding Proteins/metabolism , Lactobacillus/immunology , Macrophages/immunology , Macrophages/microbiology , NF-kappa B/metabolism , Signal Transduction/immunology , Streptococcus pyogenes/immunology , Trans-Activators/metabolism , Binding Sites/immunology , Child , DNA/metabolism , DNA-Binding Proteins/antagonists & inhibitors , DNA-Binding Proteins/biosynthesis , DNA-Binding Proteins/genetics , DNA-Binding Proteins/physiology , Humans , Immune Sera/pharmacology , Interferon Regulatory Factor-1 , Interferon-Stimulated Gene Factor 3 , Interferon-Stimulated Gene Factor 3, gamma Subunit , Interferon-alpha/biosynthesis , Interferon-alpha/immunology , Interleukin-6/biosynthesis , Lactobacillus/drug effects , Macrophages/drug effects , Macrophages/metabolism , NF-kappa B/physiology , Phosphoproteins/biosynthesis , Phosphoproteins/genetics , Phosphoproteins/metabolism , Protein Synthesis Inhibitors/pharmacology , RNA, Messenger/biosynthesis , STAT1 Transcription Factor , STAT3 Transcription Factor , Signal Transduction/drug effects , Streptococcus pyogenes/drug effects , Trans-Activators/antagonists & inhibitors , Trans-Activators/physiology , Transcription Factors/metabolism , Tumor Necrosis Factor-alpha/biosynthesis
16.
Inorg Chem ; 39(12): 2577-80, 2000 Jun 12.
Article in English | MEDLINE | ID: mdl-11197012

ABSTRACT

Treatment of the zwitterionic amine tricarbollides of general formula 7-L-nido-7,8,9-C3B8H10 (1) (where L = Me2HN (1c) and ButH2N (1d)) with [(eta 5-C5H5)Fe(CO)2]2 in refluxing mesitylene resulted in the formation of a mixture of the known compounds [2-(eta 5-C5H5)-9-X-closo-2,1,7,9-FeC3B8H10] (2) (where X = H2N (2a), Me2N (2c), and ButHN (2d)) and a series of new, isomeric ferratricarbollylamines [2-(eta 5-C5H5)-10-X-closo-2,1,7,10-FeC3B8H10] (3) (where X = H2N (3a), Me2N (3c), and ButHN (3d)) in moderate yields. Complexes of type 3 (where X = H2N (3a), MeHN (3b), Me2N (3c), and ButHN (3d)) were also obtained readily by heating complexes of type 2 (where X = H2N (2a), MeHN (2b), Me2N (2c), ButHN (2d), and Bu(t)(Me)N (2e)) at ca. 300 degrees C for 10 min. All the complexes of type 3 contain reactive amine functions in meta positions with respect to the metal center. The observed 9-->10 rearrangement of the substituted cluster carbon is quite unexpected and is believed to result from higher thermodynamic stability of the 10-substituted isomers. The structures of all compounds of type 3 were established by high-field NMR spectroscopy and mass spectrometry, and that of 3d was determined by an X-ray diffraction study.

17.
Scand J Caring Sci ; 14(3): 191-8, 2000.
Article in English | MEDLINE | ID: mdl-12035271

ABSTRACT

Elderly persons with mild depression are notable consumers of somatic health services. This study describes the typical clinical pathway including institutional care of two groups, depressed and non-depressed elderly persons, in different stages of the health care system, and compares possible changes in the use of health care services between the two groups. We also compare differences in morbidity and mortality between depressed and non-depressed persons. The depressed group of 50 persons in our follow-up study were selected randomly from among those persons who were diagnosed as having symptoms of depression, as shown in the Zung Self-Rating Depression Scale (n = 109). Persons (n = 50) who were not diagnosed as suffering from depression and who showed no signs of cognitive impairment (n = 833) were likewise chosen at random as a control group. We found that people suffering from symptoms of depression utilized institutional care, home health care and the outpatient clinics more than non-depressed people. Depressed people were more likely to suffer cardiovascular (p < 0.023) and pulmonary diseases (p < 0.04) than non-depressed controls. The mortality among depressed people was significantly higher than that in the control group. The results of our study give reason to believe that home-care staff are in a key position to identify depressed subjects. They have to understand the relationship between depression and the effect of various diseases on health and functional capacity. It is also important to ensure efficient communication between those responsible for health care.


Subject(s)
Affect , Aged/psychology , Mental Health Services , Mood Disorders/psychology , Cohort Studies , Depression/epidemiology , Depression/psychology , Female , Finland , Health Status , Humans , Male , Socioeconomic Factors
18.
Diabetologia ; 42(7): 793-801, 1999 Jul.
Article in English | MEDLINE | ID: mdl-10440120

ABSTRACT

UNLABELLED: AIMS/HYPOTHESIS; The aim of the Diabetes Prevention Study is to assess the efficacy of an intensive diet-exercise programme in preventing or delaying Type II (non-insulin-dependent) diabetes mellitus in subjects with impaired glucose tolerance, to evaluate the effects of the intervention programme on cardiovascular risk factors and to assess the determinants for the progression to diabetes in persons with impaired glucose tolerance. METHODS: A total of 523 overweight subjects with impaired glucose tolerance ascertained by two oral glucose tolerance tests were randomised to either a control or intervention group. The control subjects received general information at the start of the trial about the lifestyle changes necessary to prevent diabetes and about annual follow-up visits. The intervention subjects had seven sessions with a nutritionist during the first year and a visit every 3 months thereafter aimed at reducing weight, the intake of saturated fat and increasing the intake of dietary fibre. Intervention subjects were also guided individually to increase their physical activity. RESULTS: During the first year, weight loss in the first 212 study subjects was 4.7 +/- 5.5 vs 0.9 +/- 4.1 kg in the intervention and control group, respectively (p < 0.001). The plasma glucose concentrations (fasting: 5.9 +/- 0.7 vs 6.4 +/- 0.8 mmol/l, p < 0.001; and 2-h 7.8 +/- 1.8 vs 8.5 +/- 2.3 mmol/l, p < 0.05) were significantly lower in the intervention group after the first year of intervention. Favourable changes were also found in blood pressure, serum lipids and anthropometric indices in the intervention group. CONCLUSION/INTERPRETATION: The interim results show the efficacy and feasibility of the lifestyle intervention programme.


Subject(s)
Diabetes Mellitus, Type 2/prevention & control , Glucose Intolerance/therapy , Blood Glucose/analysis , Blood Pressure , Body Weights and Measures , Exercise , Finland , Glucose Intolerance/diet therapy , Humans , Obesity/diet therapy , Obesity/therapy , Treatment Outcome , Triglycerides/blood
19.
Aging (Milano) ; 11(2): 90-5, 1999 Apr.
Article in English | MEDLINE | ID: mdl-10386168

ABSTRACT

The prevalences of lowered mood and cognitive impairment, and their combination were investigated in 1993 random subjects of five birth cohorts (at age of 65, 70, 75, 80 and 85 years). The frequency of a high Zung-score (> 45), indicating depressive symptoms, in the five age groups was 11%, 13%, 20%, 16%, and 36%, respectively. The corresponding figures for a low MMSE-score (Mini Mental State Examination < 24) were 11%, 9%, 25%, 46%, and 60%; the respective frequencies of subjects fulfilling both criteria simultaneously were 2%, 3%, 8%, 12% and 24%, respectively. Overall, about 30% of the subjects with a low MMSE-score had a high Zung-score. However, more than half of the old subjects (over 75 years) with a high Zung-score also had low MMSE-scores. The data indicate that the combination of impaired cognition and lowered mood doubles in frequency by five-year intervals after the age of 70 years in the general aged population, and that this condition is present in one of four subjects at the age of 85 years.


Subject(s)
Cognition Disorders/epidemiology , Depression/epidemiology , Affect , Aged , Aged, 80 and over , Aging , Cognition , Cohort Studies , Comorbidity , Female , Finland/epidemiology , Health Surveys , Humans , Male , Socioeconomic Factors
20.
Blood ; 93(6): 1980-91, 1999 Mar 15.
Article in English | MEDLINE | ID: mdl-10068671

ABSTRACT

Interferon-alpha (IFN-alpha) is a pleiotropic cytokine that has antiviral, antiproliferative, and immunoregulatory functions. There is increasing evidence that IFN-alpha has an important role in T-cell biology. We have analyzed the expression of IL-2Ralpha, c-myc, and pim-1 genes in anti-CD3-activated human T lymphocytes. The induction of these genes is associated with interleukin-2 (IL-2)-induced T-cell proliferation. Treatment of T lymphocytes with IFN-alpha, IL-2, IL-12, and IL-15 upregulated IL-2Ralpha, c-myc, and pim-1 gene expression. IFN-alpha also sensitized T cells to IL-2-induced proliferation, further suggesting that IFN-alpha may be involved in the regulation of T-cell mitogenesis. When we analyzed the nature of STAT proteins capable of binding to IL-2Ralpha, pim-1, and IRF-1 GAS elements after cytokine stimulation, we observed IFN-alpha-induced binding of STAT1, STAT3, and STAT4, but not STAT5 to all of these elements. Yet, IFN-alpha was able to activate binding of STAT5 to the high-affinity IFP53 GAS site. IFN-alpha enhanced tyrosine phosphorylation of STAT1, STAT3, STAT4, STAT5a, and STAT5b. IL-12 induced STAT4 and IL-2 and IL-15 induced STAT5 binding to the GAS elements. Taken together, our results suggest that IFN-alpha, IL-2, IL-12, and IL-15 have overlapping activities on human T cells. These findings thus emphasize the importance of IFN-alpha as a T-cell regulatory cytokine.


Subject(s)
DNA-Binding Proteins/metabolism , Gene Expression Regulation , Genes, myc/genetics , Interferon-alpha/pharmacology , Milk Proteins , Protein Serine-Threonine Kinases , Proto-Oncogene Proteins/genetics , Receptors, Interleukin-2/genetics , CD3 Complex/immunology , DNA/metabolism , Humans , Interleukin-12/pharmacology , Interleukin-15/pharmacology , Lymphocyte Activation , Phosphotyrosine/metabolism , Proto-Oncogene Proteins c-pim-1 , RNA, Messenger/metabolism , Recombinant Proteins , STAT1 Transcription Factor , STAT3 Transcription Factor , STAT4 Transcription Factor , STAT5 Transcription Factor , T-Lymphocytes/metabolism , Trans-Activators/metabolism , Tumor Suppressor Proteins
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