ABSTRACT
Herein we describe the synthesis, structure and electronic properties of an unusual redox-active ditopic ligand with a stable open-shell configuration. This stable phenoxyl radical features intense and very low energy electronic transitions in the near infrared (NIR) part of the spectrum and is structurally set up to strongly spin couple coordinated transition metal ions in [2 × 2] grid-type structures.
ABSTRACT
BACKGROUND: Parastomal hernias can be prevented or repaired using synthetic mesh; however, reported complications include infection, fibrosis and potential bowel erosion. The study aim was to assess the safety, feasibility and potential efficacy of using a prophylactic collagen implant. METHODS: Twenty patients undergoing defunctioning stomas were randomised to a conventional procedure or reinforcement with the implant. Follow-up included regular symptom questionnaires, clinical examination, stoma site ultrasound, and serum inflammatory markers. RESULTS: Ten patients (four males; mean BMI 26.3) had a conventional stoma, and ten (three males; mean BMI 26.3) received the implant. At a median of 6.5 months follow-up, a parastomal hernia was clinically evident in three of ten patients without the implant, and in none of ten patients with the implant. There were no clinical complications, ultrasound evidence of chronic seromas or serological evidence of a systemic inflammatory response. CONCLUSIONS: Xenogeneic collagen has been demonstrated to aid soft tissue reinforcement. In this study, in contrast to published data relating to the use of conventional synthetic mesh, there were no complications related to infection or the implant's proximity to the bowel. This trial demonstrates that the implant is safe, feasible to use and has the potential to prevent parastomal herniation.
Subject(s)
Biocompatible Materials , Collagen , Hernia, Ventral/prevention & control , Surgical Stomas/adverse effects , Adult , Aged , Anastomosis, Surgical , Feasibility Studies , Female , Hernia, Ventral/epidemiology , Hernia, Ventral/etiology , Humans , Incidence , Male , Middle Aged , Ostomy/adverse effects , Prostheses and Implants , Treatment Outcome , Young AdultABSTRACT
In vivo 1H spectroscopy using the STEAM sequence for localization has been applied to the human kidney in normal volunteers and subjects with successful renal transplants. We show that, within the resolution of our measurements, trimethylamines are present in the spectra from some of the subjects and absent from others. The prominent peak seen at 5.8 ppm in the spectrum is identified as that from urea and not lipid, as previously suggested.